Order Type & Procedure Template Mapping

How do I get to this page?

On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Charge Integration, click Order Type & Procedure Template Mapping

Step-by-step instructions

To map one order type to one procedure code

Display the Order Type & Procedure Template Mapping page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Charge Integration, click Order Type & Procedure Template Mapping.
Order/Procedure — Click inside the text box to display the list of available order types and procedure templates, and select the order type or procedure that you want to map.
Note: You can also click inside the text box and enter the first few characters of the order type or procedure template to display a list.
Effective Date — Enter an effective date for the mapping, or leave this field blank if you do not want to specify a date range. Enter effective and expiration dates as needed for time-sensitive orders such as vaccines.
Expiration Date — Enter an expiration date for the mapping, or leave this field blank if you do not want to specify a date range. Enter effective and expiration dates as needed for time-sensitive orders such as vaccines.
Procedure Code — Click inside the text box and then enter the first few characters of the procedure code that you want to map to the order type or procedure. You can search by procedure name or by CPT code. Select the procedure code to map to this order type.
Note: The list of procedure codes is not limited by your fee schedule. You can map orders and procedures to any valid CPT codes. To delete an entry, click the icon.
Click Add to save the new mapping. The new mapping appears in the list of mappings. You can use the links provided to update or delete mappings.
On the Billing tab during the sign-off stage of the 5-stage patient encounter, the mapped procedure code appears as an option to be billed. Make sure to select the Bill? option on the Billing tab to move the code to claim charge entry.

To map one order type to multiple procedure codes

Display the Order Type & Procedure Template Mapping page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Charge Integration, click Order Type & Procedure Template Mapping.
Order/Procedure — Click inside the text box to display the list of available order types and procedure templates, and select the order type or procedure that you want to map.
Note: You can also click inside the text box and enter the first few characters of the order type or procedure template to display a list.
Effective Date — Enter an effective date for the mapping, or leave this field blank if you do not want to specify a date range. Enter effective and expiration dates as needed for time-sensitive orders such as vaccines.
Expiration Date — Enter an expiration date for the mapping, or leave this field blank if you do not want to specify a date range. Enter effective and expiration dates as needed for time-sensitive orders such as vaccines.
Procedure Code — Click inside the text box and then enter the first few characters of the procedure code that you want to map to the order type or procedure. You can search by procedure name or by CPT code. Select the first procedure code to map to this order type.
Note: The list of procedure codes is not limited by your fee schedule. You can map orders and procedures to any valid CPT codes. To delete an entry, click the icon.
Click the plus icon to the far right of the Procedure Code field.

A new row appears so that you can add the next procedure code for this order type.
Click inside the Procedure Code text box and select the next procedure code.
You can click the icon to delete a row.
To add more procedure codes, click the plus icon on the far right to add each row.
You can click the icon to delete a row.
After you add all the procedure codes, click Add to save the new mapping. The mappings appear in the list of mappings. You can use the links provided to update or delete mappings.
Note: A separate mapping is listed for each procedure code that you selected. On the Billing tab during the sign-off stage of the 5-stage patient encounter, these codes appear as a list of options for the order type. Only one of the mapped procedure codes can be selected for billing.

To map one order type to a set of procedure codes to be billed as a set

Display the Order Type & Procedure Template Mapping page: On the Main Menu, click Settings > Clinicals. In the left menu, under Practice Links — Charge Integration, click Order Type & Procedure Template Mapping.
Order/Procedure — Click inside the text box to display the list of available order types and procedure templates, and select the order type or procedure that you want to map.
Note: You can also click inside the text box and enter the first few characters of the order type or procedure template to display a list.
Effective Date — Enter an effective date for the mapping, or leave this field blank if you do not want to specify a date range. Enter effective and expiration dates as needed for time-sensitive orders such as vaccines.
Expiration Date — Enter an expiration date for the mapping, or leave this field blank if you do not want to specify a date range. Enter effective and expiration dates as needed for time-sensitive orders such as vaccines.
Procedure Code — Click inside the text box and then enter the first few characters of the procedure code that you want to map to the order type or procedure. You can search by procedure name or by CPT code. Select the first procedure code to map to this order type.
Note: The list of procedure codes is not limited by your fee schedule. You can map orders and procedures to any valid CPT codes. To delete an entry, click the icon.
Click the plus icon to the near right of the Procedure Code field (not the plus icon at the far right).

A new row appears so that you can add the next procedure code to the set of procedure codes for this order type.
Click inside the Procedure Code text box and select the next procedure code.
To add more procedure codes to the set, click the plus icon to the near right of the Procedure Code field to add each row.
You can click the icon to delete a row.
After you add all the procedure codes, click Add to save the new mapping. The mapping appears in the list of mappings. You can use the links provided to update or delete mappings.
Note: The procedure codes that you selected are included in a single mapping for the order type. On the Billing tab during the sign-off stage of the 5-stage patient encounter, these codes can be selected as a set when billing for this order type.

Learn more about mapping order types to procedure codes

You can customize the order type-procedure code mappings for your practice using the Order Type & Procedure Template Mapping page. The order type-procedure code mappings configured on this page appear first in the selection list for the order types on the Billing tab.

Note: If your office generates lab orders and your fee schedule includes a Blood Draw or Specimen Handling CPT code, the codes appear automatically on the Billing tab as a reminder to charge for these services, if applicable.

You can map an order type or procedure template to:

One procedure code.
Multiple separate procedure codes.
On the Billing tab during the sign-off stage, you can select only one of the mapped procedure codes when billing for this order type.
A set of procedure codes.
On the Billing tab during the sign-off stage, you can select these mapped procedure codes as a set when billing for this order type. athenaOne creates line item charges on the resulting claim for each procedure code included in the mapping.

The list of procedure codes is not limited by your fee schedule. You can map orders and procedures to any valid CPT codes.

Procedure codes that do not appear on the Billing tab

Only certain types of mapped procedures codes appear on the Billing tab (see the Encounter Charge Entry Integration page for more information).

Non-lab orders for external clinical providers do not appear on the Billing tab. A clinical provider is considered "external" when it differs from the clinical provider configured for the department where the order was created. You can verify the provider associated with a department on the Departments page. You should not map referral orders, consult orders, surgery orders, or patient information orders to procedure codes because they will not appear on the Billing tab of an encounter.

Note: In some cases where there is only one procedure code in the fee schedule available for an order type group, athenaOne automatically populates that procedure code on the Billing tab for orders within that order type group. For example, if you don't have a mapping set up for an x-ray order and there is only one procedure code related to the IMAGING order type group, then the procedure code for IMAGING appears on the Billing tab for the x-ray order.

Field Reference

Order/Procedure	Click inside the text box to display the list of available order types and procedure templates, and select the order type or procedure that you want to map.
Effective Date	Enter an effective date for the mapping, or leave this field blank if you do not want to specify a date range. Enter effective and expiration dates as needed for time-sensitive orders such as vaccines.
Expiration Date	Enter an expiration date for the mapping, or leave this field blank if you do not want to specify a date range. Enter effective and expiration dates as needed for time-sensitive orders such as vaccines.
Procedure Code	Click inside the text box to display a list of procedure codes. You can also enter the first few characters of the procedure code that you want to map to the order type or procedure. You can search by procedure name or by CPT code. Select the procedure code to map to this order type.