3. Respond to the following prompts for the diagnosis, as appropriate.
Patient's Service Connection and Rated Disabilities:
SC Percent: 100%
Rated Disabilities: TRAUMATIC ARTHRITIS (10%-SC)
DIABETES MELLITUS (0%-SC)
ICD9 Code or Diagnosis: 891.0// 891.0 891.0 OPEN WND KNEE/LEG/ANKLE
...OK? Yes// (Yes) [ENTER]
Provider Narrative: OPEN WOUND OF KNEE, LEG (EXCEPT THIGH), AND ANKLE, WITHOUT
MENTION OF COMPLICATION
OPEN WOUND OF KNEE, LEG (EXCEPT THIGH), AND ANKLE, WITHOUT MENTION OF COMPLICATI
Is this Diagnosis Primary for the Encounter: YES// [ENTER]
Is this Diagnosis Ordering, Resulting, or Both: RESULTING [ENTER] (See NOTE)
Injury Date and (optional) Time: [ENTER]
Modifier: FOLLOW UP [ENTER]
Encounter Provider: PCEprovider,one BM DOC [ENTER]
[ Provider Narrative Category:] [ENTER]
Comments: SEVERE HEADACHE [ENTER]
--- Classification --- [Required]
Was treatment for SC Condition? NO// [ENTER]
Was treatment related to Combat? NO// [ENTER]
Was treatment related to Agent Orange Exposure? NO// [ENTER]
Was treatment related to Ionizing Radiation Exposure? NO// [ENTER]
Was treatment related to SW Asia Conditions? NO// [ENTER]
Was treatment related to Military Sexual Trauma? NO// [ENTER]
Was treatment related to Head and/or Neck Cancer? NO// [ENTER]
NOTE: The Ordering/Resulting Diagnosis prompt is available for some application encounters (i.e., Surgery), that choose to distinguish between the ordering diagnosis and resulting diagnosis. This prompt is optional.
If user chooses:
Integrated Billing (IB) can generate:
Institutional claim UB92.
Professional claim HCFA 1500.
Institutional and Professional claims UB92 and HCFA 1500.
When Ordering/Resulting Diagnosis is not entered, IB personnel must reseach the Provider’s documenation for Ordering and Resulting diagnosis information.
4. The edited screen is then displayed.
August 1996PCE V. 1.0 User Manual31