Adding a diagnosis (DX) code ensures that patient records are accurate and compliant with clinical and billing standards. This helps you document conditions clearly, support care decisions, and streamline insurance or reporting processes.
In this article, we will learn the following about the diagnosis (DX) code feature:
Add a DX code to a note
You can add a diagnosis to a note, too. Just follow these steps:
Go to Clients.
Click on a client.
Under their Documentation tab, select a Note.
Click Edit (pen icon) to open the note. You can expand it for better viewing.
Navigate to the DX icon from the toolbar.
Select the diagnosis from the list. You may select multiple ones.
DX codes will appear at the bottom of the note.
Add the last diagnosis to a new note
Go to Clients.
Click on a client.
Under their Documentation tab, select a Note.
Click Edit (pen icon) to open the note. You can expand it for better viewing.
Click on the portion of the note where you want to insert the diagnosis.
Navigate to and click Add smart data chip (circled plus icon) from the toolbar.
Select Last DX code.
It should appear within your note.
Note:
Make sure you have encoded a previous diagnosis for the insert Last DX code feature to work.
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