Claim Forms: Diagnoses - Box 21 and Box 24E
When completed a CMS 1500 claim form, adding at least one diagnosis code is required. You can search in Healthie's diagnosis field for your condition. Our diagnosis codes are sourced from the ICD-10 list. ICD codes (or sometimes ICD-10) is shorthand for International Statistical Classification of Disease and Related Health Problems 10th Revision.
If you do not see a code when searching the field, please email hello@gethealthie.com with the code and description you wish to add. If it is a validated ICD-10 code and billable, we will add it to our library.
Add & Manage Diagnoses
You can add multiple diagnosis codes for a client, but only one code will be billable. You will also be prompted to add a Fist Symptom Date for each condition. Once this information is added into a client's claim form once, it will automatically populate on subsequent claim forms, saving time on claim creation & improving claim accuracy. The diagnosis details will also update in the Client's Profile (learn more here).
1. Within a CMS 1500 form and the Client Profile, the diagnosis section includes the following:
- ICD-10 Search Field
- Active checkbox
- Onset Date (First Symptom Date)
- End Date
2. When a diagnosis is set to active, the end date field is automatically disabled.
3. Providers can dynamically add more diagnosis codes by clicking "+ Add Diagnosis"
4. Pressing the trash can icon will remove the diagnosis.
Diagnostic Pointers
When completing the Billing Items of the form section, you'll be asked to make a Diagnostic Pointer selection. The billing code needs to point to the diagnosis code that you will be billing for.
In this example, Diagnostic Pointer 1 matches with Diagnosis 1 listed in the section above.
On the CMS claim form, diagnoses populate Box 21 A - J. The first diagnosis you listed in Healthie will always populate the 21A spot on the claim form.
The diagnostic pointer will populate Box 24E
