Once you put a CPT in the box, if you click on the modifer box, you will get a drop down "arrow." It does not work unless you put a CPT code to begin (I just realized this on testing.)

It will pick the ICD's in the order that you have them in the chart. If V20.2 is your first dx it will be the leading dx. If you need to change it there is a drop down box (or you can cut and paste dxs in the note before you sign off on the chart.) There is an option to look up an ICD that is not listed in the note.

For multiple 90461's you should increase the units. Thus you may have 90461 x 4, 90462 x 2 (Apparently some of the medicaid programs want them separate after each vaccination, THAT AC does not do.)

Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them