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 selected diagnostic pointer will populate Box 24E
If you check multiple diagnostic pointers, they will populate Box 24E in the order that they were selected. For example, if you select the first, then the third, and finally the second pointer, they will show in that order:
