What is Eyelid Diagnosis Refinement?

When adding a clinical impression to an eyelid in the system, you will need to "Refine" the code to tell the system which code to pull into your encounter.  When this type of refinement is needed, you will not see the ICD-10 code on your coding screen.  It will be blank as shown in the screenshot below:

You will want to click into the billing codes section, where you will see the eyelid diagnosis that needs refinement:

When you click on the diagnosis, it will take you to the refinement screen where you can select the upper or lower eyelid:

Once you have selected the appropriate refinement, the correct coding will generate:

PLEASE NOTE THAT YOU WILL NEED TO FIRST SIGN OFF ON YOUR NOTE BEFORE CLICKING INTO THE BILLING SECTION TO REFINE THE CODE.  IF YOU REFINE THE CODE BEFORE SIGNING OFF ON THE NOTE, IT WILL NOT BE PERMANENT TO THE NOTE AND WILL NEED TO BE ADDED AGAIN AFTER YOU SIGN OFF.