What are Diagnosis Pointers?

Diagnostic coding (ICD-10) translates written descriptions of diseases, illnesses, and injuries into codes from a particular classification. In medical classification, diagnosis codes are used as part of the clinical coding process alongside intervention codes. 

Diagnosis pointers are used to link the Diagnosis code to a specific CPT/procedure performed.

There are two ways that you can link a Diagnosis code (ICD-10) to a CPT in DrChrono, one on the Billing detail screen and the other through the Schedule calendar. Please follow the steps outlined below.


Option 1: To link a Diagnosis code to a CPT on the Billing detail screen:


1. Hover your cursor on Billing > Live Claims Feed.

2.  Select the date of service, and it will take you to the Billing Detail Screen.

3. Enter the ICD-10 codes and CPT/HCPCS codes on the appointment.


4. You will be able to link a maximum of 4 primary Dx codes to one CPT as per CMS guidelines and can use a total of 12 Dx codes on an appointment.

5. To link a Dx code to a particular CPT, enter the position of the Dx on the Dx Pointers field corresponding to that CPT, as mentioned in the screenshot.



Option 2: To link a  Diagnosis code to a CPT through a schedule calendar:


1.  Navigate to Schedule > Calendar

2.  Select the appointment and then select the Billing Tab.

3Enter the ICD-10 codes and CPT codes on the appointment.

4. To link a Dx code to a particular CPT, enter the position of the Dx on the Dx Pointers field corresponding to that CPT, as mentioned in the screenshot.

5. Select Save.


Limit on diagnosis codes transmitted:

The first 12 diagnoses entered will be transmitted to the payer on the patient's claim. You can enter additional diagnosis codes if they apply; however, only the first 12 will be transmitted.