diff --git a/changelog.md b/changelog.md
index 6862c4652..9068406f6 100644
--- a/changelog.md
+++ b/changelog.md
@@ -103,6 +103,8 @@ including the `reopen_episode_modal.html` template and the url/view at `template
 
 * Adds in a footer updated/created by to the form base template
 
+* Adds an index argument to `PatientList.as_menuitem()` and `Pathway.as_menuitem()`
+
 #### Updates to the Dependency Graph
 
 * Letter: 0.4.1 -> 0.5
diff --git a/doc/docs/reference/pathways.md b/doc/docs/reference/pathways.md
index 2524ea9f7..ef2b17fff 100644
--- a/doc/docs/reference/pathways.md
+++ b/doc/docs/reference/pathways.md
@@ -39,7 +39,7 @@ If set, this template will be used if your pathway is opened in a modal. If its
 
 ### Class Methods
 
-#### `Pathway.as_menuitem(href=None, activepattern=None, icon=None, display=None)`
+#### `Pathway.as_menuitem(href=None, activepattern=None, icon=None, display=None, index=None)`
 
 Return an instance of `opal.core.menus.MenuItem` that will direct the user to this pathway.
 
diff --git a/doc/docs/reference/patient_list.md b/doc/docs/reference/patient_list.md
index 9bfffd2a1..840551868 100644
--- a/doc/docs/reference/patient_list.md
+++ b/doc/docs/reference/patient_list.md
@@ -91,7 +91,7 @@ MyList.get_display_name()
 ```
 
 
-#### `PatientList.as_menuitem(href=None, activepattern=None, icon=None, display=None)`
+#### `PatientList.as_menuitem(href=None, activepattern=None, icon=None, display=None, index=None)`
 
 Return an instance of `opal.core.menus.MenuItem` that will direct the user to this
 patient list.
diff --git a/opal/core/pathway/pathways.py b/opal/core/pathway/pathways.py
index 1fc20e367..bf1b1fde1 100644
--- a/opal/core/pathway/pathways.py
+++ b/opal/core/pathway/pathways.py
@@ -71,6 +71,7 @@ def as_menuitem(kls, **kwargs):
             activepattern=kwargs.get('activepattern', kls.get_absolute_url()),
             icon=kwargs.get('icon', kls.get_icon()),
             display=kwargs.get('display', kls.get_display_name()),
+            index=kwargs.get('index', '')
         )
 
     def get_pathway_service(self, is_modal):
diff --git a/opal/core/pathway/tests/test_pathways.py b/opal/core/pathway/tests/test_pathways.py
index 07f79f30f..6ebfcfe12 100644
--- a/opal/core/pathway/tests/test_pathways.py
+++ b/opal/core/pathway/tests/test_pathways.py
@@ -481,6 +481,10 @@ def test_as_menuitem_from_kwargs(self):
         self.assertEqual('fa-sea', menu.icon)
         self.assertEqual('Bleu', menu.display)
 
+    def test_as_menuitem_set_index(self):
+        menu = ColourPathway.as_menuitem(index=-30)
+        self.assertEqual(-30, menu.index)
+
     def test_as_menuitem_uses_getter_for_icon(self):
         menu = OveridePathway.as_menuitem()
         self.assertEqual('fa-django', menu.icon)
diff --git a/opal/core/patient_lists.py b/opal/core/patient_lists.py
index 2c84c94f2..44b11cceb 100644
--- a/opal/core/patient_lists.py
+++ b/opal/core/patient_lists.py
@@ -158,6 +158,7 @@ def as_menuitem(kls, **kwargs):
             activepattern=kwargs.get('activepattern', kls.get_absolute_url()),
             icon=kwargs.get('icon', kls.get_icon()),
             display=kwargs.get('display', kls.get_display_name()),
+            index=kwargs.get('index', '')
         )
 
     def get_template_prefixes(self):
diff --git a/opal/tests/test_patient_lists.py b/opal/tests/test_patient_lists.py
index 23fa89ab6..65892cc98 100644
--- a/opal/tests/test_patient_lists.py
+++ b/opal/tests/test_patient_lists.py
@@ -299,6 +299,10 @@ def test_as_menuitem_from_kwargs(self):
         self.assertEqual(menu.icon, 'fa-foo')
         self.assertEqual(menu.display, 'Foo')
 
+    def test_as_menuitem_set_index(self):
+        menu = TaggingTestPatientList.as_menuitem(index=-30)
+        self.assertEqual(-30, menu.index)
+
     def test_as_menuitem_uses_getter_for_icon(self):
         menu = IconicList.as_menuitem()
         self.assertEqual('fa-james-dean', menu.icon)