New Feature – 2023 ICD-10 update

Every year on October 1st, CMS (the Centers for Medicaid and Medicare Services) introduces several updates to the ICD-10 code set. IMO (Intelligent Medical Objects) automatically adds all of the new or updated ICD codes to their terminology, so you will be able to search for those new values on October 1st. But because CMS also ‘deletes’ some ICD-10 codes each year (and replaces them, typically, with more specific codes), the AngleSearch application is updated each year to automatically detect any expired (‘deleted’) codes and make them visually apparent to the provider. The expired codes appear with a light grey triangular warning icon. Should the provider wish to replace the expired ICD-10 code with a valid one, the icon can be clicked to bring up the search window with that problem in context, making it very easy to keep all of the ICD codes valid, and up to date.

AngleSearch has now been updated to detect all of the expired codes made by CMS from 2016 (when they first started expiring codes) up to the present (2023).  

For practices using the Medicare HCC features in AngleSearch, those values have been updated for 2023 as well.  



New feature – Hide uncoded problems in search results

AngleSearch has always had the ability to block uncoded problems from being added to the chart, but some practices have wanted the search results to simply not show any uncoded problems in the list. Thus, a new feature has been added which can now completely hide uncoded problems (i.e. problems that are missing an ICD-10 code) from appearing in the search results drop-down list.

If you would like to activate this feature for your practice, please let us know.

Quick-text support in problem assessment fields

AngleSearch now (optionally) supports quick-text macros in the problem assessment fields.

Please let me know if you would like this feature activated for your practice. (It isn’t activated by default, because it could, theoretically, consume more memory for practices that leverage huge numbers of quick-text macros. Therefore, the feature is opt-in to keep memory demands low for practices that don’t need this capability).

Note that the feature only works with a provider’s personal quick-text macros (there currently isn’t a way to fetch the global quick-text macros). To use it, simply type out the quick-text shortcut (e.g. “.cmd”) and press the SPACE key to expand the shortcut.

New Feature – COVID-19 Quick Search

With the rapid spread of the novel coronavirus (COVID-19) in the U.S., many providers have had a difficult time finding the best terms to represent their patient’s COVID-19 related conditions. In an effort to help, AngleSearch has temporarily added a new “COVID-19” search button at the top of the Find Problem dialog. Clicking this button will automatically search IMO’s problem terminology for some of the most common COVID-19 conditions. IMO should be supplementing their terminology within the next few weeks, but until then, this button should make the most common terms easily available.

The temporary COVID-19 QuickSearch button is located just to the right of the normal Search button.

Addendum: With updates to the IMO problem terminology after the beginning of the pandemic, this feature is no longer required and has been removed.

New feature – Edit problem from MEL

It has long been possible to launch AngleSearch using a MEL command that automatically triggers a specific search. For example, you can create a MEL command that launches AngleSearch so that “asthma” is automatically searched for. In that case, the “Find Problem” dialog will appear with “asthma” in the search field, saving the provider a few keystrokes. This can be useful when you want to partially automate the addition of a specific problem to the chart, but you don’t want to “hard-code” any ICD codes into the script command.

AngleSearch now supports the ability to launch AngleSearch with an existing problem in context, which automatically loads that problem into the “Change Problem” dialog. This can be useful for specialized clinical content where you know that a problem needs to be modified (perhaps due to a non-specific ICD code), but the provider needs to oversee the actual edit.

To launch AngleSearch with an existing problem in context, you will need to create a MEL script command like the following:

{show_html_form("","AngleSearch by AngleMD LLC")}

Note that the URL requires the PRID (the problem id) for the problem you wish to edit, which you can derive by parsing the output of the following MEL command:


The format of the MEL command is a little different for practices using older versions of Centricity (e.g. EMR 9.8 or CPS 12.0). For those products, the exact MEL command will depend on how your instance of AngleSearch was installed, so please contact AngleMD for assistance.

As always, let us know if you have any questions about this feature.

New feature – Custom ICD mapping

One of the great value propositions of using AngleSearch is the deep integration with IMO’s Problem IT terminology, which gives highly accurate and useful ICD-9 and ICD-10 mappings to the problem descriptions searched for by providers. There have been rare cases where a practice needs a different ICD code for a problem, however. Historically, we have supported using MEL trigger functions to handle events where a practice needs to deviate from IMO’s editorial decisions, but it isn’t always possible for a practice to edit the MEL functions that make up their clinical content. For those practices, we now support custom mapping within AngleSearch (configurable by practice) which allows for a practice to override any ICD code provided by IMO and translate it to one that would be more useful to your practice.

Please let us know if this is something your practice would like to take advantage of.

New feature – Stop date display

AngleSearch has always allowed each practice to display the last edit date or the last assess date for each problem (your choice), but you can now opt to show the stop date too. When this feature is activated, any problem that has a stop date will display that date directly below the problem description, alongside the problem comment (see image below). This makes it easy for providers to see at a glance which problems are going to drop off the problem list in the future.

If you would like to have the stop date display activated for your practice, please just let us know.

New Feature – Age-related Rules

The whole point of AngleSearch is to make it easy for providers to find the best problem ICD-10 code for the patient without knowing how to be a professional coder. In practices that see pediatrics and adults, it can sometimes be difficult to know when special ICD-10 codes are required for children.

To help with this issue, AngleSearch now supports “Age-related Rules“. These “rules” are configurable and customer-specific. They can detect when the user is about to add an ICD-10 code that is inappropriate for the patient due to age considerations. If such a rule is triggered, the app will display a warning to the provider, and a button which links to a better search term. This makes it very easy for the provider to switch to the preferred term.

The system has detected that the user is trying to add the adult version of “UTI” to a 2-week old infant, and exposes a button which makes finding a better replacement easy.

To add your own Age-related Rules to AngleSearch, contact AngleMD and we can help you get set up. We can either add the rules for you at no charge, or provide you access to our new Account Manager tool that allows you to add/edit/remove your own Age-related Rules.

The new Account Manager tool allows to customize your own Age-related Rules

New feature – Turn off the display of ICD-9 and SNOMED-CT codes in the Find Problem dialog

If your providers do not have a need to see the SNOMED-CT codes or the ICD-9 codes in the Find Problem dialog, those values can be toggled off so they no longer appear (either one, or both).

By default, the ICD-9 and SNOMED-CT codes appear in the Find Problem dialog, along with the ICD-10 code.

The ICD-9 code and SNOMED-CT codes can now be turned off.

Please just drop us a note if you would like to turn off the display of either code.