Billing codes database

❗️You need to populate your Payors database before updating your billing code database. 

ChiroUp will automatically fill your Billing Codes database with the most commonly billed CPT codes by chiropractors. 

Building out your billing code database with details like billed amounts, payor-specific allowed amounts, and default modifiers is essential to successful billing in ChiroUp! 

We recommend adding details for all of the codes you typically bill. If you see a code you don't use, you can skip it! 


Here's how to update your billing codes database: 

1. Navigate to the profile icon in the top right corner and select Databases.

2. Then, navigate to the Billing Codes tab.

3. Click on a service code to update its details. 

 

4. Click the lock icon to unlock this code for editing.

5. At minimum, enter your Billed Amount for all codes you bill out to insurance. 

6. Optionally, configure this code further by entering the following: 

  • Add another billed amount: Most codes only need one billed amount, so you can skip this step for most codes. Use this when different services with different prices are billed under the same code. 
  • Variable billed amount: Allows you to change the billed amount of the code to any amount whenever it is charged. 
  • Alternate Description: Add alternate descriptions for a service code that you can choose from when billing individual patients. This is most often used for unlisted codes, like 97039, that require a description on the claim. Learn how to use alternate descriptions here.
  • Default Modifiers: Modifiers entered here will populate each time you bill this code. You can set-up payor-specific modifiers later. 
  • Drug Code: Turn this on only if you need to send an NDC with this code.
  • Non-billable: Check this box if this code is always the patient’s responsibility and never billed to insurance. The code will be marked Non-billable by default when added to purchases.

 

7. Enter payor-specific details, including Allowed Amounts, Default Modifiers, and/or Replacement Codes. 

  • Allowed Amounts are used to calculate patient responsibility at check-out. 
  • Payor-specific Default Modifiers auto-populate when the code is added to a purchase with a policy by that payor. 
  • Replacement Codes are useful when a payor requires a different code in substitute for another. This feature is most commonly used for replacing 97014 with G0283. 

 

8. Click Save and repeat for each code your office bills! 


➡️ Adding Additional Service Codes

ChiroUp will automatically populate the CPT codes most commonly billed by chiropractors into your account. If you need to add additional CPT codes that you don't see already listed, use our Reference Code Finder! Just click Add at the top of your screen.

 

➡️ Want to add a new CPT code? 

  • Click the CPT box to search for and add your CPT code. 

➡️ Want to add a new HCPCS code? Or create your own custom service code? 

  • Click the Service box to add your own code. 

 

 

 

 

 

 

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