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This article provides an overview of the 12 diagnosis code support feature in Elation Billing.

Overview

What is 12 Diagnosis Code Support?

Elation Billing now supports up to 12 Diagnosis Codes per claim, even with only one charge line. This feature aligns with CMS-1500 form requirements and supports value-based and quality programs that require more reporting on patient conditions.

Why is 12 Diagnosis Code Support important?

More value-based and quality programs require comprehensive reporting on patient conditions. Having support for 12 diagnosis codes ensures you can capture all relevant diagnoses for accurate claims and program compliance.

How it works

Elation Billing automatically selects a maximum of 12 diagnosis codes when submitting a claim. You do not need to manually remove diagnosis codes from the superbill before submission — the system handles this for you based on the CMS-1500 form limit.

What you need to know

  • You can enter more than 12 diagnosis codes on a bill in the EHR.
  • When the claim is submitted, Elation Billing automatically selects up to 12 diagnosis codes for transmission.
  • Manual trimming of diagnosis codes is not required as part of your standard workflow.
Changes made to the superbill for billing purposes do not affect the patient’s medical record in the EHR system. Comprehensive patient diagnosis history remains intact in the EHR.

Troubleshooting

If you receive a claim rejection related to an invalid diagnosis pointer or more than 12 diagnosis codes being transmitted, reach out to Elation Support using HelpContact Elation Support.