Manually Add a Billing Code to an Encounter’s Fee Sheet

Here’s the process for adding a billing code like interactive complexity or travel time to an encounter before billing:

1. Finish writing your note and click “Save & Sign.”* 
2. After being redirected to the calendar, click the notepad icon again or select the DOS from the “Encounter History” dropdown at the top of the page.

   

3. Click the “Fee Sheet” button.
4. Choose Billing code from the “Select Code List” box.

   

5. Choose the 90785, H0046**, or any other code from the “Select Code to Add:” dropdown:

   
   NOTE: CPT codes are in the CPT code list. Private Pay or Cash codes are in the Client Billing list.

6. Click “Update” – The code should now appear in the list above.
7. Justify it by selecting each ICD10 code on the Fee Sheet once. Start with the primary Dx.

   

8. IF you are not a provider, you’ll need to make sure one is selected in the Provider column:

   

   And in the Rendering Provider dropdown:

   

9. Click Finish to return to the Encounter Summary.
10. Click the “Submit to Clearinghouse” to queue the claim for submission.

*The Fee Sheet is finalized when you sign a note. If you modify the Fee Sheet before signing a note, it will be overwritten with the default coding.

**If you are adding travel time, you may also need to change the Place of Service. Click here for details on Place of Service.