What this section is for
The Coding section is where you enter the medical detail that describes what was wrong with the patient and why the ambulance transport was needed. Procedure codes and modifiers live in the Charges section.
Fields in this section
- Primary DX (ICD-10) - the patient's main diagnosis. ICD-10 stands for International Classification of Diseases, 10th edition.
- Additional DX (multi-select, max 11) - up to 11 more diagnosis codes that describe the patient's condition.
- Transport Reason Code - pick one of five reasons: A (nearest facility), B (preferred physician), C (nearness of family), D (specialist or specialized equipment), or E (transfer to rehabilitation).
- Condition Codes - CRC codes that describe the patient's condition at pickup. Search by code or text and add as many as apply.
- Stretcher Purpose - a short description of why the stretcher was needed.
- PCR Narrative (read-only) - the crew's narrative from CloudPCR, shown for reference only. It is not submitted on the claim.
Searching for diagnosis codes
The Primary DX and Additional DX fields open on your agency's favorites list. Start typing to filter your favorites, or click Search above the field to look up any ICD-10 code. Type a keyword like "chest pain" or a code like "R07" and pick the match. Click Favorites to switch back to your favorites list.
Using ICD favorites
Favorites are the codes your agency uses every day. An administrator maintains the list on the ICD Favorites page under Settings. Until favorites are set up, the field shows "No favorites yet. Use Search to find codes."
Generating diagnosis suggestions
For claims imported from CloudPCR that have a PCR narrative, click Generate suggestions to have the system suggest Primary and Secondary diagnosis codes based on the narrative. The Suggested Codes panel below the coding fields also proposes a Transport Reason and Condition Codes from the same narrative. Click any suggestion to apply it. Manually entered claims have no narrative, so this button does not appear on them; enter the codes by hand instead.
Accident and claim narrative
Two buttons at the bottom of the Coding section open extra detail when you need it. Accident & Workers Comp records whether the transport was related to Employment (Current or Previous), an Auto Accident, or an Other Accident, along with the Accident State/Province and Accident Country Code. Claim Narrative holds a short note that goes out with the claim; use the buttons underneath it to drop in the crew narrative or key times without retyping.
Tips
- Always put the most specific diagnosis code first.
- Pick a Transport Reason Code that matches why your crew went to this specific destination. Medicare and many other payers require it.