More than 4 Diagnosis Codes for Superbills and Claims
1500 form allows you to enter 9 Dx codes at a time. But the superbill allows only 4 Dx codes at a time. If we create two superbills for the same patient who has more than 4 Dx. there will be an issue with the insurance companies processing the claim. Please give option to enter more Dx codes while we create a superbill.
After consulting with our billing partners, we wanted to provide some additional context for why we are limiting each CPT line to 4 diagnosis codes:
You may associate up to 4 diagnoses per CPT code in the Practice Fusion superbill. While the official CMS 1500 claim form that your biller creates allows for 12 diagnoses to be documented per claim, only 4 diagnosis pointers can be associated per CPT code. To simplify and standardize the superbill process in Practice Fusion, we are limiting each CPT line to 4 diagnosis codes. Please note that the Practice Fusion superbill is not used as an electronic claim and can be adjusted to include diagnosis pointers and additional diagnoses after it has been submitted to your billing system for review.
You can read more about superbills here: http://knowledgebase.practicefusion.com/knowledgebase/articles/483043-how-do-i-create-a-superbill
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Implementing this feature would be beneficial for everyone! It not only will help support the level of complexity for visits, but it would also help support medical necessity for certain procedures, resulting in less push back from the payers.
Dr Carrie Hess commented
Now that we have to record right or left, it is sometimes hard to have only four diagnoses per procedure. If it is an office visit as the procedure and they have multiple problems on both feet, it is tough to know how to record it.
Alicia Abels, M.D. commented
Expanding ability to add more than 4 ICD codes is critical for those physicians participating in Medicare and other insurance plans who use these ICD codes to help document level of complexity of each visit and overall patient population mix in a practice. Small practices will need this to survive. In the meantime, workarounds for docs are to add the extra codes manually in the notes section of the bill for their biller to enter manually.
Please seriously look into adding more than 4 dx per procedure.
you need to be able to move forward with ICD 10 expectations.
How can I add more than four diagnosis codes per procedure? I need up to be able add up to 12 diagnosis to not only justify the CPT code but to be in compliance with my local ACO requirements.
Dr Sabrina Kimball commented
ICD-10 billing forms can use up to 12 diagnosis codes, we need more than 4 used for ICD-9 to be in compliance with ICD-10 coding rules. Please address this issue ASAP.
S Menon commented
This is needed ASAP
We have a majority of patients who now require more than 4 dx codes per visit. Please update the superbill as soon as possible. This is slowing down out workflow and giving inaccurate billing information
Deanna K commented
It is extremely important that we add more than 4 dx on procedure codes. Please give the option to enter more than 4! Thank you!
Dr Anthony Hoffman DPM commented
I am a podiatrist and have a patient with painful calluses on toes and feet. To bill ICD10 I have to use L84 (calluses), M79.674 (pain toes right,) M79.675 (pain toes left,) M79.671 (pain right foot, ) M79.672 (pain left foot.) Thus 5 codes per CPT. I can only bill 4 soooo this is a problem.
Dr Annie Barseghian commented
I'm very interested in being able to add more than 4 diagnoses on the superbill. Please consider this transition since I'm putting in a significant amount of time during the visits but still struggling to code for the work I've done. Thanks
Mrs Sherry Face commented
There were times with ICD-9 that we needed more than 4 diagnosis coded and now with ICD-10 we are finding that quite a few more of our claims are requiring more than 4 codes. We really would like to see the ability to add 8 - 10 codes per superbill.
Pam Kessinger commented
Yes, please make these updates to the superbill feature. We have chronic pain patients who can have upwards of 10+ diagnosis that need to be included. You attention to this is greatly appreciated.
Mrs Michelle Keen commented
Dr Susan Jenkins commented
How can I add more than 4 diagnosis codes. I need to add them to justify the cpt code. This new superbill is cumbersome to add under the message because I can't see my note at the same time. It is costing a great deal of extra time as I have to write down the codes to enter in the message screen
Allow more than 4 diagnoses to be entered for each Procedure. Some procedures by default require 10+ diagnoses to be listed. The current limitation of 4 diagnoses will prevent us from providing proper justification for our main procedures used. Given the current limitation, the system will not complete a superbill for the encounter with more than 4 diagnoses, so we are stuck with incomplete tasks and must do a paper superbill to then be scanned into the chart.
Dr Arnold Wolf commented
Adding more than four codes creates a problem with saving for billing purposes. Get up to date with the 12 1500 form lines now required.
Being able to report more than 4 diagnoses per CPT is critical, especially when elderly patients come in that need multiple HCC codes addressed and reported in that visit. This is potentially a deal breaker for me. You cannot just add another CPT code for a second office visit to that day's visit.
Peter Lakis commented
Practice Fusion limits us to 4 diagnosis within a procedure, however Osteopaths can bill for anywhere between 1 and 10 areas within a procedure. For example: 98928 is treatment for 7-8 regions, but we can only log 4 regions within practice fusion. Please allow more than 4. Thank you.
Since the new CMS 1500 forms allow for up to 10 diagnosis codes it would be nice if we were able to link more than 4 diagnosis codes per CPT code. For my office when I see a medicare patient I am sometimes required to post 6-8 diagnosis codes for one procedure. Currently I am having to wait until the ticket is sent to my billing software to add the additional diagnosis codes.
Seeing as how the claim forms were changed last year to allow for this I would have thought this would be an update that had already been created.