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This only works for non-humanoid models (stages & accessories). I recommend checking out How to convert FBX into PMX.

If your model comes with Armature (human icon):

Press Convert Model under Model Production, select root object (axis icon) then export.

If your model does not come with Armature (only triangle icons):

Press Create Model and Attach Meshes under Model Production, select the mesh then click Convert to MMD under Model Setup > Material, select root object (axis icon) then export.