We are currently updating the OP Help Center content for the release of OP 14.19 or "OP 19". OP 19 is a member of the certified OP 14 family of products (official version is 14.19.1), which you may see in your software (such as in Help > About) and in the Help Center tabs labeled 14.19. You may also notice that the version number in content and videos may not match the version of your software, and some procedural content may not match the workflow in your software. We appreciate your patience and understanding as we make these enhancements.

Assessment and Plan

Version 14.19

Overview

This section will introduce the users to the steps required to code a visit with diagnosis codes. 

  1. Diagnosis code(s) for the visit are found when selecting Assessment within a note.

  1. To add ICD codes, follow the steps below. 
  1. Begin typing the name in the ICD-10 Description field or code in the ICD-10 field.
  2. Press the Enter key. The ICD window will display with the practice frequently used list.
  3. Click to select a code.
  4. Repeat the above steps for any additional diagnosis codes.

If the code is not found in the practice frequently used list, follow the steps below:

  1. Click the Full Search button. The ICD Code table displays.
  2. Click the radio button Complete and Master to expand the search.
  3. Highlight the code in the list and click the Select button.

  1. Click on the Save button to save the diagnosis codes.
Version 14.10

Overview

This section will introduce the users to the steps required to code a visit with diagnosis codes. 

  1. Diagnosis code(s) for the visit are listed in the Diagnosis section of the Assess/Plan window.

  1. To add or modify ICD codes, follow the steps below. 
  1. Begin typing the name or code of the diagnosis code.
  2. Press the Enter key. The ICD window will display.
  3. Click to select a code.

or

  1. If the code is not found: 
  2. Click the Full Search button. The ICD Code table displays.
  3. If the ICD Code is not visible, use the radio buttons on the window to expand the search.

  1. Click on the Post Edit  button to save the diagnosis codes.
  2. Verify that the Plan and Patient Instructions are correct and make any necessary changes.
  3. If doing Meaningful Use, place a check mark in the Patient Education Given check box.