Using the Code Lookup Search Panel

The Search panel is where you can search and filter data sets. The data set selected will drive what filter criteria is available.

Entity Selection

Entity Selection is for users with access to more than one facility to render the correct information such as APC Payment, LCD information, and other regulatory information that is location specific.

Entity selection defaults to the parent account for users with more than one facility. Use the drop-down list to change facilities.

The Date Search defaults to the current date as the Date of Service. All information in your search results applies to the date of service chosen.

The other filter options are Effective Date, Revised Date, and Expiration Date.

Select the type of search then use a single date or date range to search.

How each filter is used

  • Date of Service – Can be used for all data sets.
  • Effective Date – Use to get a list of all codes effective on a certain day such as 01/01/2020.
  • Revised Date – Use to get a list of all codes that where revised on a certain day such as 01/01/2020.
  • Expiration Date – Use to get a list of all codes that expired on a certain day such as 12/31/2019.

Data Sets

Select one of the following from the Data Sets:

  • APC
  • CPT/HCPCS
  • CDT (Dental Codes)
  • Modifiers
  • ICD-9 Diagnosis
  • ICD-9 Procedure
  • ICD-10 CM
  • ICD-10 PCS
  • Medicaid
  • DRG – MS-DRG – MS-LTC-DRG
  • Revenue Codes
  • Supplies and Devices
  • Billing Codes
  • Condition
  • Discharge Status
  • Occurrence
  • Patient Relationship
  • Place of Service
  • Point of Origin
  • Priority of Admission Visit
  • Type of Bill
  • Value
  • HIPPS Codes

You can filter your search to return either CPT or HCPCS codes in the CPT/HCPCS data set. Both are returned by default.

You also have the option to include expired codes depending on which data set you select.

The NDC/Pharmacy data set Type of Code filter allows filtering for either NDC or CPT/HCPCS codes. The default uses NDC codes.

Enter a single, partial, or range of codes after selecting your data set.

Examples that use the options of single, partial, or range

  • Single code: C1725 returns just that code
  • Partial code: C17 returns all codes starting with C17
  • Range: C1720 to C1730 returns only the codes that fall within that range
  • In List: Searches for multiple complete codes. Codes must be separated by a comma when using this option.

The Field search filter is an option available in most data sets. The fields available to search vary by data set. The operators also vary by field.

Searchable fields

All search filters work in conjunction with one another. Click Search after selecting search filters. Results will populate in the results table. Minimize or close the Search panel temporarily by clicking the small arrow in the middle of the panel's right edge. Click Clear to remove all search selections except Data Set and Entity.

APC

  • Has Entity Note
  • Stat Ind

CPT/HCPCS

  • Add On
  • APC
  • ASC App
  • ASC Multi Proc
  • ASC Pymt Ind
  • Assistant Surgergy Indicator
  • Bilateral Surgery Indicator
  • Co-Surgeon Indicator
  • FDA App Pend
  • Global Surgery
  • Has Entity Note
  • MC Alt Avail
  • Mod 51 Exempt
  • Mod 63 Exempt
  • Mod Sed
  • Multiple Procedure Indicator
  • OPPS Dev Dep
  • PC/TC Indicator
  • Prior Auth Req
  • Stat Ind
  • Status Code
  • Team Surgeon Indicator

CDT (Dental Codes)

  • Has Entity Note
  • PC/TC Indicator
  • Stat Ind

Modifiers

  • Has Entity Note

ICD-9-CM Diagnosis

  • E-Code Indicator
  • Gender Indicator
  • Has Entity Note
  • Manifestation Indicator
  • Mental Health Dx
  • Questionable Admission Dx
  • Unacceptable Principal Dx
  • Unspecified Code

ICD-9-CM Procedure

  • E-Code Indicator
  • Gender Indicator
  • Has Entity Note
  • Manifestation Indicator
  • Mental Health Dx
  • Questionable Admission Dx
  • Unacceptable Principal Dx
  • Unspecified Code

ICD-10 CM

  • E-Code Indicator
  • Gender Indicator
  • Has Entity Note
  • Manifestation Indicator
  • Mental Health Dx
  • Questionable Admission Dx
  • Unacceptable Principal Dx
  • Unspecified Code

ICD-10 PCS

  • E-Code Indicator
  • Gender Indicator
  • Has Entity Note
  • Manifestation Indicator
  • Mental Health Dx
  • Questionable Admission Dx
  • Unacceptable Principal Dx
  • Unspecified Code

Medicaid

  • Payment Indicator

MS-DRG

  • Has Entity Note

NDC/Pharmacy

  • Code Source
  • Has Entity Note
  • Labeler Name
  • Pharm Class
  • Product Type
  • ROA
  • SD/MD per each

Revenue Codes

  • Has Entity Note
  • Rev Req HCPCS

Supplies and Devices

  • Available OTC
  • Case GTIN
  • Donation ID Number
  • GTIN
  • Is Device a Kit
  • Manufacturer
  • Product Has Expiration
  • Requires Rx
  • Requires Rx
  • Requires Sterilization
  • Single Use
  • Sterile Packaging
  • Tissue Based
  • UDI
  • UNSPSC Description

HIPPS Codes

  • Payment System Indicator

Search Text

The Search Text accepts keywords, partial keywords, single letters or numbers found in the short, medium, or long description.

For example, entering j returns codes containing "j" and search results for descriptions containing the letter "j." Entering the number 4 returns all codes with that number in the description.

ICD-9-CM Diagnosis and ICD-10-CM searches use Inclusion terms (clinical concepts) in the Search Text filter. For example, entering malnutrition in the ICD-10 CM data search will pull code E42 for Marasmic Kwashiorkr because malnutrition is included in the clinical concepts tied to that code.