Dr Joni Ashcroft

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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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    Dr Joni Ashcroft supported this idea  · 
    Dr Joni Ashcroft commented  · 

    In order to justify various levels of procedures it can be necessary to utilize several diagnosis codes not just 4. For example a 98942 codes must show diagnosis for 5 plus regions to be justified. It could take 10 or more diagnosis codes in order to justify that level of care. By only allowing 4 codes we are unable to accurately bill for procedures.

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