Selecting a Subset

Select a subset in one of these ways:

  • Find a subset using one or a combination of these methods:

  • Select a product and category. (If you want to select a transition plan, select Transition Plan from the Category list.) If you have access to criteria from multiple years, select a content version.

  • Enter keywords (for example, words found in the subset name).
  • Enter medical codes (that is, ICD, CPT®, or HCPCS code).
  • After you select a product and version, use the Subset filter. When you start typing the subset name, the subset list filters based on the text you enter.

ⓘ  Note: You can access the Clinical Reference at any time after you select a product and version. Click Clinical Reference button to access resources such as clinical revisions, criteria bibliographies, review process, and other supporting materials.

  • If you searched by keywords or medical codes, click Find Subsets button.

    When the results appear, the Results Count indicates the number of subsets that match your search criteria.

  • Click a subset to select it.

    The subset notes appear.

  • If there are multiple versions of the subset listed, select the version based on the date of the request.
  • Read the subset notes to get information about the subset.
  • Optionally, view the medical codes for the subset by clicking Show Codes. Close the Codes dialog box when you have finished viewing the codes.
  • Optionally, view a clinical resource by clicking the link in the Subset Notes; for example, Review Process.
  • If you selected a subset that has a clinical evidence summary (available for Molecular Diagnostics Criteria), view the document as follows:
  • Click Clinical Evidence Summary.
  • Depending on the options available, click Open or click Download PDF button.

  • Use the controls in the PDF to save and/or print the document.

    ⓘ  Note: If necessary, at any time, you can clear your subset selection by clicking Clear All or clicking Change Subset to select a different subset.

  • Optionally, continue with any of the following tasks:
  • Evaluate criteria in a medical review
  • View criteria in Book View
  • Look up information in the Clinical Reference
  • Add a transition plan
  • View a transition plan
  • View a quality indicator checklist
  • Print a full subset
  • Create an InterQual® SmartSheet
  • Bookmark a subset

  • Click Bookmarks button.

    The Subset Bookmarks window appears.

  1. Click a subset to select it.

  2. If there are multiple versions of the subset listed, select the version based on the date of the request.
  3. Read the subset notes to get information about the subset.
  4. Optionally, view the medical codes for the subset by clicking Show Codes. Close the Codes dialog box when you have finished viewing the codes.
  • If you selected a subset that has a clinical evidence summary, view the document as follows:
  • Click Clinical Evidence Summary button.
  • Depending on the options available, click Open or click Download PDF button.

  • Use the controls in the PDF to save and/or print the document.

    ⓘ  Note: If necessary, at any time, you can clear your subset selection by clicking Clear All or clicking Change Subset to select a different subset.

  1. Optionally, continue with any of the following tasks: