Anonymous

My feedback

  1. 194 votes
    Sign in
    (thinking…)
    Sign in with: Facebook Google Practice Fusion
    Signed in as (Sign out)

    We’ll send you updates on this idea

    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


    Please add your voice to the conversation by commenting below or by voting for…

    Anonymous commented  · 

    This makes good sense to me as I have sent more than 4 codes in only to have it rejected by certain insurance companies. Explanation is no dx pointer to the cpt code. Thank you for you input. To add to the comments below. We have a practice that is driven by medicare advantage plans run by IPA groups and they insist of all codes being used and in fact I have had to bill as many as 20 dx codes for one patient but for commercial plans they will reject more than 4 codes as it actually creates more than one superbill. Some of the fee for service medicare advantage plans have attestation forms that will be filled out by physician or nurse practitioner. As long as the billing note in the patient's chart has all codes listed when they come in to audit.

Feedback and Knowledge Base