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. Additionally, enter any Default Modifiers. When you enter a Default Modifier here, ChiroUp will always populate this modifier whenever this code is billed. 

 

6. 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

 

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


💡 Pro Tips: 

➡️ 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.

 

➡️ Adding Custom Service Codes

If you use any HCPCS codes (like L3000) or have any custom codes you use for cash-based services, you'll create those as Custom Codes! 

How to enter a Custom Service Code 

 

➡️ Non-billable codes

If your code will always be the patient's responsibility and not go to insurance, you can indicate this code as default Non-billable by checking the non-billable check box.

 

➡️ Variable Billed Amounts

If your billed amount for a specific service code may vary - select Variable Billed Amount. This will allow you to update the billed amount for this service code whenever you add it to a purchase. 

 

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