How do I add ICD-10 diagnoses when creating a superbill?

Your EHR has received an end-to-end upgrade to help you easily transition to ICD-10. Don't worry about memorizing codes- natural language search and refinement filters will help you narrow in on the correct ICD-10 codes quickly. Health care providers across the clinical landscape have prepared for the ICD-10 switchover. With a nearly fivefold increase from 20,000 codes to over 69,000 in ICD-10, Practice Fusion is here to help make charting with ICD-10 hassle-free.

Resources to help your practice succeed


Please take a moment to tour our ICD-10 superbill workflow in the video tutorial below:Creating Superbills with IC



Creating a superbill using ICD-10

Any user may create a superbill for a patient that has a
patient record number entered in their chart by following the instructions listed below:

1. Within a patient encounter, click Actions in the top right corner.

2. Select Add superbill.

3. The superbill will open in a new tab.


Once you have opened the superbill, you will have the ability to add CPT codes, modifiers, and diagnosis codes. For each procedure added, a corresponding diagnosis code must also be selected. You can also add additional notes and edit provider/facility details.


Adding a procedure

To add a CPT code to the superbill, click Add procedure. Search for a procedure or select one from your list of frequently used and custom  CPT codes. You may search by code or procedure description.



You can add multiple CPT codes simultaneously by continuing to search for and select additional codes. Once you have selected the procedures, click Add.



Searching and adding diagnoses (ICD-9 and ICD-10)

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.


To select a diagnosis, click Add a diagnosis.


Encounter, Historical, and My Dx list Diagnoses

You can quickly select diagnoses from the patient’s encounter and diagnosis history by utilizing the Chart tab in the fly-out pane. Alternatively, you can select a diagnosis from your My Dx list.



In order for a diagnosis to display under the Encounter section, you must either:

  • Add the diagnosis via the Assessment section of the encounter

  • Add the diagnosis via the Diagnosis section of the encounter and check the ‘attach diagnosis to this encounter’ box


Select the diagnosis from the flyout pane to add it to the procedure. If you select a diagnosis that maps to only one ICD-10 code, the ICD-10 code will automatically be added to the superbill. If the diagnosis selected maps to multiple ICD-10 codes, you will be prompted to further refine and select the appropriate ICD-10 code. Note: Any diagnosis that maps to multiple ICD-10 codes and requires further refinement will display an orange alert.


If the diagnosis selected maps to multiple ICD-10 codes, use the Filter to narrow the list of potential results to the number listed in parenthesis. Each filter is related to the diagnosis (i.e. encounter type, fracture type, laterality).



Searching for a new diagnosis

Using our new diagnosis search, you may also search for diagnoses by either:

  • ICD-9

  • ICD-10

  • Description


Click Search for a diagnosis and begin typing into the Add diagnosis box. Practice Fusion will offer a list of potential diagnoses, presenting the ICD-9 code with the corresponding ICD-10 code. Select the appropriate diagnosis from the drop-down menu. Note: Any diagnosis that maps to multiple ICD-10 codes and requires further refinement will display an orange alert.


If you select a diagnosis that maps to only one ICD-10 code, the ICD-10 code will automatically be added to the superbill. If the selected diagnosis maps to multiple ICD-10 codes, you will be prompted to further select the appropriate ICD-10 code. Use the Filter to help narrow the list of potential diagnosis codes. Once you have located the correct diagnosis code, click on the diagnosis to add it to the procedure.


You can add multiple diagnoses to the procedure by continuing to search for and selecting additional codes. Once you have selected all of the diagnoses that are associated with that procedure, click Done.


You can re-ordering the diagnoses within your superbill by clicking the 4 horizontal lines to the left of the diagnosis and dragging up or down.



Next Steps

Once you have added all of the procedures and diagnoses pertaining to the encounter, you may complete the rest of the superbill. The next steps include editing patient/provider/facility information and saving and submitting your superbill to your billing partner.


For additional instructions on completing your superbill, see How do I create a superbill?


Additional ICD-10 Resources

To learn more about implementing ICD-10 in your practice, please click here.


Billing

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  2. What billing partners is Practice Fusion integrated with?
  3. How do I request or update my integration with one of your billing partners?
  4. What are the next steps for my billing integration with Practice Fusion?
  5. How do I add ICD-10 diagnoses when creating a superbill?
  6. How do I create a superbill?
  7. How do I create superbill when I am bound with Kareo?
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  9. Where do you track the copay on the Superbill?
  10. How do I add Insurance/Payers?
  11. What payers are supported for insurance eligibility checks?
  12. How do I add a payer that is not listed in the drop-down?
  13. Why are duplicate patient records created in Kareo when sending a superbill?
  14. Searching and Sorting through the Billing Report
  15. How do I add new (custom) CPT codes into my Practice Fusion account?
  16. NueMD Superbill Error Message Guide
  17. How can I tell the status of my superbill?
  18. How do I update my Provider/Facility information for my billing account?
  19. How do I add frequently used CPT and diagnosis codes to the superbill?
  20. How do I choose the 'seen by' provider on a superbill?
  21. EZ Claim error message guide
  22. CollaborateMD Superbill Error Message Guide
  23. Cal-Med Superbill Error Message Guide
  24. Can you delete a superbill?
  25. AdvancedMD Superbill Error Message Guide
  26. How do I add a guarantor for a patient?
  27. How do I print the superbill?
  28. How do I activate my CollaborateMD interface with Practice Fusion?
  29. How do I locate my Facility and Provider Profile Codes in AdvancedMD?
  30. How do I locate my Provider and Facility Sequence Numbers in CollaborateMD?
  31. How do I locate my Medical Facility and Care Provider codes in NueMD?
  32. How do I activate my Assertus interface with Practice Fusion?
  33. Where can I find my Account/Provider/Facility information in Assertus?
  34. Kareo error message guide
  35. Integration with Billing Partners
  36. Where can I find my Account/Provider/Facility information in PracticeWithEase?
  37. Where can I find my Account/Provider/Facility information in KaizenHealth?
  38. How do you export a superbill?
  39. Where can I find my Account/Provider/Facility information in Kareo?
  40. What will the Refresh patient info button do to my superbill?
  41. Where can I find my Account/Provider/Facility information in EZClaim?
  42. All Other Billing Error Messages
  43. How is Practice Fusion prepared for ICD-10?
  44. How to activate your EZ Claim and Practice Fusion integration
  45. How do I locate my Facility and Provider Profile Codes in NCG Medical?
  46. Perfect Care Superbill Error Message Guide
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  48. How do I locate my Cal-Med Company ID?
  49. MTBC payer information
  50. How do I locate my Facility and Provider Profile Codes in MTBC?
  51. MTBC Superbill Error Message Guide
  52. How do I sync my Practice Fusion and AdvancedMD payer lists?
  53. How do I sync my Practice Fusion and NueMD payer lists?
  54. How do I sync my Practice Fusion and CollaborateMD payer lists?
  55. How are Facility, Billing Provider and Rendering Provider populated in the superbill?
  56. How are Facility, Billing Provider and Rendering Provider populated in the Kareo superbill?
  57. How do I locate my provider/facility mapping codes in Avisena?
  58. How do I locate my provider/facility codes in Sammy Systems?
  59. How do I sync my Practice Fusion and Kareo demographic and insurance information?

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