The Block and Substitute feature has been replaced with the Advanced Workflow Rules Engine (OP AWARE).
To view the map for OP AWARE, click here.
About Blocked and Substituted Codes
Path: Billing tab > More button (Customize group) > Coding Substitution Rules
The Blocked and Substituted Codes window creates payer specific rules to:
- Block CPT codes and substitute with the payable alternative
- Automatically add modifiers to CPT codes
- Remove CPT codes when they appear on a superbill
Blocked and Substituted Codes Map
|Function Buttons||The Function buttons print a record, insert a record, remove a record, edit a record, save/post an edited record, and cancel the edited record.|
|Expand Grid||The grid can be expanded by selecting the Expand Grid checkbox.|
|Grid Fields||The grid lists the insurance payers. The CPT codes are added below the insurance payers in the grid. The grid fields contain all the blocks where the data is viewed, entered, or modified. The fields include the following:|
Note: Remove (-) Blocks the CPT but does not substitute with another CPT code. The blocked code will be ignored when it occurs for the specified payer. If you are manually inputting charges a warning will appear that the CPT is not supported by the selected payer. If converting electronic charges, the CPT code will not appear on the claim.