Chapter 8 - Documenting your review
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Diagnostic codes - record the suspected (or confirmed) pathology with the image. You can assign
an ICD-9 code to the image.
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Procedure codes - record the codes used in reimbursement cases.
Review notes are listed in the Review Note pane of the image window. Click the review note to display its
contents in the right hand pane. Review notes cannot be edited or deleted after the image has been
closed.
Diagnostic codes (sometimes called pathology codes) let you assign pathology information to the image.
Procedure codes are assigned to images that are used when the costs of medical procedures can be
reclaimed. Procedure codes can only be assigned when the required tasks have been completed.
Note
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Review notes, diagnostic codes and procedure codes cannot be edited or deleted after the
image has been closed.
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optomap® plus Review procedures are only available when the image was captured using an
optomap® plus or optomap® fa Capture procedure.
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You can set User Preferences that will prompt for a Review Note if an image is opened but no
details are added. This is useful if you want to ensure the Image Status field is completed, see
Setting User Preferences on page 15.
Using procedure codes
Procedure codes are used in some countries where the costs for medical procedures can be reclaimed, for
example in the United States of America. The procedure codes can be assigned to images that have been
captured using optomap® plus or optomap® fa capture procedures. Typically, procedures require
particular tasks to be performed; adding retinal drawings, diagnostic codes and review notes. The Review
application includes guidance notes for each supported procedure code. The doctor can then assign the
appropriate code when the required tasks have been completed.
Caution
The treating physician is responsible for the appropriate usage, adequate documentation and
proper coding of reimbursement claims.
optomap® plus Review procedures define the steps that must be carried out to comply with requirements
for specific procedures. In some countries these steps are clearly defined and the procedures have been
given codes.
You can assign a procedure code to an image. When a procedure code has been assigned the image is
tagged with a purple marker in the Patient History view, see Review application user reference on page 81.
Note
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optomap® plus Review procedures are not available when the image was captured using a
standard optomap® Capture procedure. Some features, such as Retinal Drawings and ISNT
Rule Measurements are only available when the image was captured using an optomap® plus
or optomap® fa Capture procedure. The relevant tools are made available when the image is
opened.
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optomap® plus and optomap® fa procedures are charged at a higher rates than standard
optomap® examinations.
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Procedure codes are not available when the image was captured using a standard optomap®
capture procedure. Procedure codes are only available when the image was captured using an
optomap® plus or optomap® fa capture procedure. The relevant tools are made available
when the image is opened.
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Procedure codes cannot be edited or deleted after the image has been closed.
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These procedures may not be available on your system. Please contact Optos if you would like
more information, see Contact us on page 93.
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