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1. More than 4 Diagnosis Codes for Superbills and Claims

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   41 comments  ·  Product Ideas » Billing and Insurance  ·  Delete…  ·  Admin →
   Acknowledged  ·  Matthew Douglass responded

   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:

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   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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   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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   Linn commented  ·  March 06, 2017  ·  Delete…

   Medicare allows up to 12 DX's on a claim, and is using the information for QIP and other initiatives. We need to be able to add more DX codes to give a clear picture of our chronic patients

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   Linn supported this idea  ·  March 06, 2017