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How to Add Diagnosis Codes

You can add diagnosis codes to a patient chart and to your personal favorites list within the Plan section of the note.

1.  Navigate to the Plan section of the note.

*Note the red banners indicating this section is required. 

Plan section (2)

2.  Select a diagnosis code from the selected list by clicking on the code to highlight it green. 

code selected (2)

You can also click on the code list to choose another code list from the menu. 

 

3.  To add diagnosis codes to your personal favorites or to search for codes not in the code lists, click the Add/Change button. 

Add Change

4.  Search by code or description.  

Add Change (2)

5.  Click the star to the left of the code to add it to your personal favorites. 

star

The white star indicates a code is in your personal favorites list while the star outline indicates a code is not in your personal favorites.  

6.  Click on the code to highlight it green, adding it to the patient's chart. 

Highlighted code (2)

7.  When you have added all your diagnosis codes, click the check mark in the upper right-hand corner to confirm. 

check mark

8.  Enter your management plan in the field marked tap to enter med/management plan. 

Code with plan added (2)

9.  Click tap to select under Status to show your status menu and select an option.

status menu (3)