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Why am I unable to modify the charges Status of my CPT/HCPC code on my claim?

posted May 17, 2018, 2:54 AM by Angelique Belot   [ updated May 17, 2018, 2:54 AM ]
Most likely this is occurring because one of the CPT® or HCPC codes chosen on the claim is set up as an all-inclusive code in the Codes section. Setting up a CPT® or HCPC  as an all-inclusive code will set all other charge statuses on the claim to Paid, preventing you from changing their status(s).

A code should be marked as all-inclusive when a procedure or service is included as part of a “more extensive” procedure or service provided at the same time. Meaning, specific services are linked together and bundled under one procedure code. 

To verify or disable this feature:
  1. Go to Codes > Billing & Procedure > Codes.
  2. Use the search field or click the Show All button to find the code you believe is set up as an all-inclusive code.
    Note: You may have to search for each code present on the claim.
  3. Under the Defaults tab, next to the Default Price, uncheck the box called, "This is an all inclusive code" to disable this feature.
  4. Click Save.
  5. Return to your claim and do one of the following:
    • Under the Charges tab, reselect the CPT code on the claim that was set up as the all-inclusive code.
    • Close and reopen the claim. 
    • Save and reopen the claim.
  6. Under the Charges tab, click the charge Status drop-down menu to change the status of each CPT code present on the claim
  7. When you're done, click Save.