Your EHR comes preloaded with the standard CPT library for ordering laboratory tests and scans/ x-rays. You can add additional entries (see below) and/or edit the existing entries to better reflect the specific laboratory and radiological orders you need. For instance, you might:
- Add specialty tests that are outside the standard CPT dataset
- Add a panel order in as a single orderable test
- Add in more-specific versions of a 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" that you can obtain from your lab rep(s) showing all the tests that you've ordered from that lab. The information that should be included in the spreadsheet is, at a minimum:
- The name of the lab or scan
- 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
Add New Order/ CPT Entry
Add a new lab/ scan order entry under Admin > Manage > Lab Orders/ CPT Database by clicking the +Add New CPT Option button at the top.
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 does not 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.
***If the order is a custom panel created for your practice by an integrated lab, you may need to reach out to Cerbo Support to add this test to your ordering compendium on the back end for it to be transmittable electronically.
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/ appear on the printable/ faxable/ saveable lab requisition form when the procedure is ordered.
Procedure Type (optional, advanced/rarely used) – the type of procedure ordered. This is generally "Pathology and Laboratory," but may be "Referral to Specialist" for your custom referral orders, for example.
Plan “Display Class” – this drop down menu can be used to set certain orders to appear with different background highlight colors in the treatment plan, Open Orders, and orders search bars. This is often used, for example, to visually differentiate between orders from different labs or to highlight orders that require special treatment/ handling.
Associated Charges (NEW fall 2019) – you can associate one or more charges from your charge list with a specific lab order so that you can add patient orders and then easily:
- Add associated charges to the patient's for practice pay labs, and/ or
- Add charges and dispense inventory for lab kits that you sell.
If the relevant charge is already in your charge list, then you can search for and match it using the Associated Charges search bar. Otherwise, you can click where it says "+ Click here to add a new charge" to add a new charge to your charge list. That will bring up the Add New Charge window in front of the existing edit window so that you can add charge details, and then return to the Add/ Edit CPT window to associate the charge with the lab order.