Link CPT Codes with Appointments

To help reduce manual billing tasks and ensure pricing consistency, you can associate CPT codes with appointment types. This update improves accuracy in claims, minimizes administrative work, and ensures standardized pricing across services — it also is a foundational step in enabling automated CMS 1500 claims creation.

When enabled:

• CPT codes, units, and fees can be tied directly to appointment types.
• Pricing remains consistent across appointments, reducing manual entry and discrepancies.
• Revenue Cycle Management (RCM) partners can retrieve CPT codes, units, and fees from the appointment object in Healthie's API.

Add Your CPT Codes

To enable CPT Code Pricing:

1. Navigate to Organization Settings > Services.
2. Locate the CPT Code Pricing option.
3. Toggle the setting ON to begin linking CPT codes to appointment types.
4. Use the Add button to enter CPT codes, units, and fees that will populate based on appointment selection.
5. Save changes to apply updates across your practice.

Note: This feature is available for all plan types.

Link CPT Codes with Appointments

Once CPT Code Pricing is enabled, you must manually associate CPT codes with appointment types:

1. Navigate to Settings > Appointment Types.
2. Select an appointment type and click Edit.
3. Under Insurance Pricing, select a CPT code from the dropdown.
4. Enter the appropriate units for billing.
5. Save changes to apply the CPT code to that appointment type.

Once linked, the assigned CPT code and fee will be available via the API and will automatically populate when scheduling an appointment of that type once auto-create CMS 1500 is launched.