Every MD HQ build comes preloaded with the standard CPT library for ordering laboratory tests and scans/x-rays. You can add additional entries, if needed, and/or edit the existing entries to better reflect the laboratory and radiological orders that you want to place. For instance, you might:
- Add specialty tests that are outside the standard CPT dataset
- Add in single tests that are offered as a compilation of multiple CPT codes
- Add in more-specific versions of a given test (for instance, imaging orders often group left- and right-side scans under then same CPT code and it may be easier to simply create 2 new order-types (one for left-side and one for right-side) than to clarify this every time you order.
Note that we can import your specialty lab orders to your CPT database from a spreadsheet that you provide. This may be a spreadsheet that you create, or a "utilization report" for one or more particular labs that you can obtain from your lab rep(s). The information that should be included in the spreadsheet is, at a minimum, (1) the name of the lab or scan and (2) either the CPT code OR the specific lab name AND that lab's proprietary code for the order. You may include additional information, as desired, including:
- Nicknames (alternate ways to search for the lab/scan when ordering)
- Description - information that you want the patient to see on their encounter summary when you order this lab/scan
- Notes to Laboratory - information that you want to appear on the requisition form that is generated electronically or for fax/print
You can manually create a new lab/scan order entry under Admin > Manage > Lab Orders/CPT Database. The window that appears lets you find CPT codes through a search bar at the top of the page, scroll through the entire list, and add new or edit CPT lab and radiology orders as needed.
To add a new CPT code, click the green +Add New CPT Option button.
Proper Name* – Enter the name of the lab or scan. This will be the main title associated with this CPT code entry.
CPT Code* – The official CPT code(s). Add multiple CPT codes, if desired, separated by commas. NOTE: If the test you're adding doesn't have a CPT code or if you're not sure what CPT code to use, simply enter "NA" (or similar) in the CPT field.
Test performed by a specific lab (required if you will be ordering this test via an electronic ordering interface through a lab other than Quest, otherwise optional) – Checking the box brings up a drop down menu with a list of labs (or the option to add another lab), as well as a free text field to enter the lab's test code for the entry. This makes it possible to send orders electronically to that specific lab for labs that we have a bi-directional interface with and, for orders sent by e-fax or given by printed requisition, includes the lab name and lab-specific code for convenience.
Alternate Title (optional) – if provided, the alternate title is listed alongside the Proper Name, and can be used to add specificity. For example, two CPT entries having the title Blood Clot Inhibitor Test could have different Alternate Titles: 'Protein C activity' and 'Protein S Free'.
Headings (optional) – The category to which the code belongs. This is an advanced setting and is usually left blank.
Nicknames (optional) – For ease of searching, you may add one or more nicknames (separated by commas) to provide alternate search terms to bring up the order entry.
Description (optional) – You may add notes here that you want the patient to see in their encounter summary when this order is part of the plan of a signed encounter note, as well as internally when hovering over the order in the patient's chart.
Notes to Laboratory (optional) – a space to include notes that will go to the lab when the procedure is ordered.
Procedure Type (optional, advanced/rarely used) – the type of procedure ordered.
Plan “Display Class” (optional, advanced/rarely used) – this is rarely used. However, if classes are enabled, the display class will alter the appearance of the entry within the database. For example, CPT codes associated with Quest can be classed to display green, while CPT codes associated with Genova can be classed to display orange, allowing users to easily differentiate between the CPT entries when ordering.
Click the green +Add CPT Entry button to add the new CPT entry to the database. This will also add it to your shortlist, which will make it appear first in your CPT code search.