Exploding Codes

On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Fee and Allowable Schedules, click Exploding Codes

You must have the Billing Admin: Exploding Codes role to access this page, and your practice must have the Exploding Procedure Codes feature enabled.

1. Display the Exploding Codes page: On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Fee and Allowable Schedules, click Exploding Codes.
2. Exploding code — Enter the procedure code that you want to cause to explode. Users will enter this code during charge entry.
   Note: This code can include capital letters and numbers, but it cannot include spaces.
3. Description — Enter a description of the exploding code.
4. Effective date — Enter the effective date for the exploding code. A claim's date of service must be on or after this date in order for the exploding code to work.
5. Expiration date — Enter the expiration date for the exploding code. A claim's date of service must be on or before this date in order for the exploding code to work. You can leave this field blank (for no expiration date).
6. Procedure codes — Enter the procedure codes that the exploding code will "explode" into upon claim creation. For example, within certain departments, you may want 99213 to explode into two charges, each with an appropriate modifier to indicate professional and facility charges. You can enter a period to access the Procedure Code Lookup tool.
7. Units — Enter the number of units associated with each procedure code that you enter in the Procedure field, or leave the Units field blank to use the default number of units (1).
8. Provider groups — For athenaEnterprise clients, select the provider groups to which the exploding code applies. To use the exploding code for all provider groups, select the All option. If you do not want to match by provider group, leave this field blank (that is, do not select any option).
9. Departments — Select the departments to which the exploding code applies. To use the exploding code for all departments, select the All option. If you do not want to match by department, leave this field blank.
   Note: For athenaEnterprise clients, if the exploding code should explode within all departments within a given provider group, leave this field blank and use the Provider groups field.
10. Supervising provider specialties — Select one or more provider specialties from the list.
    Note: You can select departments or supervising provider specialties, but not both.
11. Insurance reporting categories — Select the insurance reporting categories to which the exploding code applies. If the exploding code should explode for all IRCs, select the All option. If you do not want to match by insurance reporting category, leave this field blank.
12. Exclude insurance reporting categories — Select any insurance reporting categories to which the exploding code does not apply. To use this filter, select All in the Insurance reporting categories field, and then use this field to select the IRCs to exclude.
13. Insurance packages — Enter any individual insurance packages to which the exploding code applies. You do not need to enter insurance packages that fall under the IRCs that you selected. If the exploding code should explode for all insurance packages, type an asterisk (*) in the first text box. If you do not want to match by insurance package, leave all text boxes blank.
14. Exclude insurance packages — Enter any insurance packages to which the exploding code does not apply.
15. Click Save. The new exploding code appears in the list below.

To create a new exploding code, you can copy an existing exploding code that includes specific filters. For example, if the payer and practice filters of an existing exploding code exactly match the filters for the new exploding code that you want to create, you can copy the existing exploding code as a base for the new code.

1. Display the Exploding Codes page: On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Fee and Allowable Schedules, click Exploding Codes.
2. Click find existing exploding codes at the top of the page.
   The Find Exploding Codes view appears with filter fields.
3. To display all exploding codes, click the Show All button below the filter fields.
   Note: You can use one or more filter fields and then click Search to reduce the number of codes displayed.
4. Locate the exploding code that you want to copy.
5. Click the copy link to the left of the exploding code that you want to copy.
   The Copy Exploding Code view appears.
6. Exploding code — Enter the new short-hand code that you want to cause to explode. Users will enter this code during charge entry.
   Note: This code can include capital letters and numbers, but it cannot include spaces.
7. Description — Enter a description of the new exploding code.
8. Effective date — Click edit to change the effective date for the new exploding code, or accept the effective date displayed. A claim's date of service must be on or after this date in order for the exploding code to work.
9. Expiration date — Click edit to change the expiration date for the new exploding code, or accept the expiration date displayed. A claim's date of service must be on or before this date in order for the exploding code to work. You can leave this field blank (for no expiration date).
10. Procedure codes — Enter the procedure codes that the exploding code will "explode" into upon claim creation. For example, within certain departments, you may want 99213 to explode into two charges, each with an appropriate modifier to indicate professional and facility charges. You can enter a period to access the Procedure Code Lookup tool.
11. Units — Enter the number of units associated with each procedure code that you enter in the Procedure field, or leave the Units field blank to use the default number of units (1).
12. Provider groups — Click edit to change the provider groups for the new exploding code, or accept the provider groups displayed. This field appears for athenaEnterprise clients only.
13. Departments — Click edit to change the departments for the new exploding code, or accept the departments displayed.
    Note: For athenaEnterprise clients, if the exploding code should explode within all departments in a given provider group, leave this field blank and use the Provider groups field.
14. Supervising provider specialties — Click edit to change the provider specialties for the new exploding code, or accept the provider specialties displayed.
    Note: You can select departments or supervising provider specialties, but not both.
15. Insurance reporting categories — Click edit to change the insurance reporting categories for the new exploding code, or accept the insurance reporting categories displayed.
16. Exclude insurance reporting categories — Click edit to change the excluded insurance reporting categories for the new exploding code, or accept the excluded insurance reporting categories displayed. To use this filter, select All in the Insurance reporting categories field, and then use this field to select the IRCs to exclude.
17. Insurance packages — Click edit to change the insurance packages for the new exploding code, or accept the insurance packages displayed. You do not need to enter insurance packages that fall under the IRCs that you selected. If the exploding code should explode for all insurance packages, type an asterisk (*) in the first text box. If you do not want to match by insurance package, leave all text boxes blank.
18. Exclude insurance packages — Click edit to change the excluded insurance packages for the new exploding code, or accept the excluded insurance packages displayed.
19. Click Save. The new exploding code appears in the list below.

Exporting exploding codes is useful when you want to review multiple exploding codes in a spreadsheet, rather than in athenaOne.

1. Display the Exploding Codes page: On the Main Menu, click Settings > Billing. In the left menu, under Practice Links — Fee and Allowable Schedules, click Exploding Codes.
2. Click find existing exploding codes at the top of the page.
   The Find Exploding Codes view appears with filter fields.
3. To display all exploding codes, click the Show All button below the filter fields.
4. To display selected exploding codes, use one or more of the filter fields.
1. Exploding Code — Enter up to five exploding codes.
2. Procedure Code — Enter up to five procedure codes that the exploding code will "explode" into upon claim creation.
3. Provider Group — Select one or more provider groups where the exploding code is active.
4. Supervising Provider Specialty — Select one or more supervising provider specialties where the exploding code is active.
5. Department — Select one or more departments where the exploding code is active.
6. Insurance Reporting Categories — Select one or more insurance reporting categories where the exploding code is active.
7. Excluded Insurance Reporting Categories — Select one or more insurance reporting categories where the exploding code is inactive.
8. Insurance Packages — Enter up to five individual insurance packages where the exploding code is active.
9. Excluded Insurance Packages — Enter up to five individual insurance packages where the exploding code is inactive.
5. Show — You can use this menu to select the number of codes displayed per page (the default number is 25).
6. Click Search. The filtered list of exploding codes appears in the list below.
7. To export the search results:
• Click export search results at the top of the results list to export all search results.
• Click export this page to export only the search results that appear on the page you are viewing. With this option, you can export your search results in smaller chunks when the search results produce a large number of codes.
  Note: This option appears only when the page contains more than the number of exploding codes specified using the Show menu.
  
8. Open the text file with Excel, so that you can sort, group, and filter your search results.