Diagnosis

Diagnosis Information

Enter at least one diagnosis code. Up to 12 Diagnosis codes may be entered on a single claim and may not be duplicated.

All other codes entered will be treated as Other Diagnosis The diagnosis code(s) for any additional conditions that coexist at the time of admission, or develop subsequently, which affect the treatment received and/or the length of stay. Diagnoses that relate to an earlier episode which have no bearing on this hospital stay are to be excluded. codes. All codes entered should be valid ICD-9-CM or ICD-10-CM codes.  

ICD-9/ICD-10 Indicate whether the diagnosis codes being entered are ICD-9 or ICD-10 by clicking the appropriate button. Note: Currently, NY Medicaid is only accepting ICD-9 codes.

Diagnosis 1 - 12: Enter up to 12 applicable diagnosis codes in these fields.

Anesthesia Related Procedure

Anesthesia Related Procedure Code 1: If billing for anesthesia services, enter the procedure code for the surgery in this field.

Anesthesia Related Procedure Code 2: If applicable, enter the second procedure code for the surgery in this field if billing for anesthesia services.

Click here for the controls located at the bottom of the page or continue to the Other Payers tab.