Home Forums Editing dX Descriptions on 8.2.4 Possible?

When we had 6.2.2, editing the description field of a diagnosis was straightforward. It was a useful feature.

I can't figure out how to do it in 8.2.4. Has this feature been removed?

I thought you could still do that, but I can't seem to find how.

I did go in the wrong direction and find it for CPT code, which I will put here:
You have to go to administrative options
Go to the tools menu about 1/2 way down is CPT database ....


You can open from there and modify the code

So, I'm going to go ahead and answer my own question.
As far as I can tell, it does appear that the "edit description" feature is no longer available and that it has been replaced by a different two new features. First, an overall of the dX code database. Second, the addition of a "refine selection" function.

In the past, codes and descriptions had a 1-to-1 mapping. For example, the code 493.00 was linked to the description "extrinsic asthma unspecified." This description could be edited to reflect what you wanted it to be. With v8, codes now have a 1-to-x mapping, ie 1 code can now populate a variety of descriptions. For example, the lookup of the ICD-10 code K59.00 yields the following results:

If you look up the icd-9 code 493.00, you will get a similar list of all the flavors of 493.00.

You can use "refine selection" on codes that appear in yellow. Codes that appear in yellow are codes that most health insurance companies have deemed to be too unspecific to be submitted with a claim. If you select a 'yellow' code and click "refine selection," then the lookup window will populate more specific codes that start with the same starting characters as the yellow code.

Overall, the new coding system is pretty cool, but it still has some kinks to work out. For example, the ICD-10 code z00.121:

For this code, you can only access the text description "well child visit with abnormal findings" if you first do a text search for well child and then click "refine selection."

I don't believe this is that hard of a bug to fix. It seems like refinement of the sql query that populates the codes and descriptions should do the trick.

Actually, it may be more difficult than you think.
I had edited several codes that were taken into the "new" system. I knew how to modify codes (in the old system) and, for example, my "well child" (V20.2/z200.121) code is the only one that shows up for that dx. The new system has a far more robust code set that MAY have heuristic properties that cannot be modified. (It might not. I thought you could type :"heart attack" and get dx of "myocardial infarction", but that's not the case.)
Anyway, the new system is indeed far more robust and significantly decreases the need to modify codes.

Yes, fixing the dX search bug could be(probably) more difficult than I made it out to be. I should have been more careful about making a statement like that. I just recently started learning about sql.

Are you saying that when you type in "well child" only V20.2/z00.121 (icd-9, icd-10) pop up? or vice versa? Either, way, weird that we should be getting different results.

When I type in well child it shows up V20.2, but that is because I had changed it in earlier versions. I don't think that is possible NOW.