Family Practice Superbill – Fill Out and Use This PDF

Family Practice Superbill is a billing service for doctors and dentists. We specialize in Electronic health record (EHR) integrations, claims processing, and payment posting so you can focus on treating patients.

Hitting the orange button down below will start our PDF tool. The tool enables anyone to fill out this form easily. The software features a versatile set of tools that will help you edit PDF files. You can do it on any device, anywhere anytime!

Family Practice Superbill PDF Details

Are you a family practice physician? Are you looking for a way to streamline your billing process? If so, then you need to check out Family Practice Superbill. Family Practice Superbill is a software program that was designed specifically for family practice physicians. It simplifies the billing process and helps you get paid faster. Plus, it's easy to use, so you can start using it right away.

Listed here, you can find some specifics about family practice superbill PDF. It is definitely worth taking the time to learn this prior to starting submitting your form.

Question	Answer
Form Name	Family Practice Superbill
Form Length	9 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min 15 sec
Other names	superbill template, practice superbill template, medical superbill form, superbill

Form Preview Example

Family Practice Management Superbill Template

From the American Academy of Family Practice (AAFP) Family Practice Management Toolkit (http://www.aafp.org/fpm/20060900/43inse.html)

Date of service:

Waiver? l

Patient name:

Insurance:

Subscriber name:

Address:

Group #:

Previous balance:

Copay:

Today’s charges:

Phone:

Account #:

Today’s payment: check#

DOB:

Age: Sex:

Physician name:

Balance due:

RANK

Office visit

New

Est

RANK

Office procedures

RANK

Laboratory

Minimal

99211

Anoscopy

46600

Venipuncture

36415

Problem focused

99201

99212

Audiometry

92551

Blood glucose, monitoring device

82962

Expanded problem focused

99202

99213

Cerumen removal

69210

Blood glucose, visual dipstick

82948

Detailed

99203

99214

Colposcopy

57452

CBC, w/ auto differential

85025

Comprehensive

99204

99215

Colposcopy w/biopsy

57455

CBC, w/o auto differential

85027

Comprehensive (new patient)

99205

ECG, w/interpretation

93000

Cholesterol

82465

Significant, separate service

-25

ECG, rhythm strip

93040

Hemoccult, guaiac

82270

Well visit

New

Est

Endometrial biopsy

58100

Hemoccult, immunoassay

82274

< 1 y

99381

99391

Flexible sigmoidoscopy

45330

Hemoglobin A1C

85018

1-4 y

99382

99392

Flexible sigmoidoscopy w/biopsy

45331

Lipid panel

80061

5-11 y

99383

99393

Fracture care, cast/splint

29_____

Liver panel

80076

12-17 y

99384

99394

Site: ____________________

KOH prep (skin, hair, nails)

87220

18-39 y

99385

99395

Nebulizer

94640

Metabolic panel, basic

80048

40-64 y

99386

99396

Nebulizer demo

94664

Metabolic panel, comprehensive

80053

65 y +

99387

99397

Spirometry

94010

Mononucleosis

86308

Medicare preventive services

Spirometry, pre and post

94060

Pregnancy, blood

84703

Pap

Q0091

Tympanometry

92567

Pregnancy, urine

81025

Pelvic & breast

G0101

Vasectomy

55250

Renal panel

80069

Prostate/PSA

G0103

Skin procedures

Units

Sedimentation rate

85651

Tobacco counseling/3-10 min

99406

Burn care, initial

16000

Strep, rapid

86403

Tobacco counseling/>10 min

99407

Foreign body, skin, simple

10120

Strep culture

87081

Welcome to Medicare exam

G0344

Foreign body, skin, complex

10121

Strep A

87880

ECG w/Welcome to Medicare exam

G0366

I&D, abscess

10060

86580

Flexible sigmoidoscopy

G0104

I&D, hematoma/seroma

10140

UA, complete, non-automated

81000

Hemoccult, guaiac

G0107

Laceration repair, simple

120____

UA, w/o micro, non-automated

81002

Flu shot

G0008

Site: __________ Size: _____

UA, w/ micro, non-automated

81003

Pneumonia shot

G0009

Laceration repair, layered

120____

Urine colony count

87086

Consultation/preop clearance

Site: __________ Size: _____

Urine culture, presumptive

87088

Expanded problem focused

99242

Lesion, biopsy, one

11100

Wet mount/KOH

87210

Detailed

99243

Lesion, biopsy, each add’l

11101

Vaccines

Comprehensive/mod complexity

99244

Lesion, destruct., benign, 1-14

17110

DT, <7 y

90702

Comprehensive/high complexity

99245

Lesion, destruct., premal., single

17000

DTP

90701

Other services

Lesion, destruct., premal., ea. add’l

17003

DtaP, <7 y

90700

After posted hours

99050

Lesion, excision, benign

114____

Flu, 6-35 months

90657

Evening/weekend appointment

99051

Site: __________ Size: _____

Flu, 3 y +

90658

Home health certification

G0180

Lesion, excision, malignant

116____

Hep A, adult

90632

Home health recertification

G0179

Site: __________ Size: _____

Hep A, ped/adol, 2 dose

90633

Post-op follow-up

99024

Lesion, paring/cutting, one

11055

Hep B, adult

90746

Prolonged/30-74 min

99354

Lesion, paring/cutting, 2-4

11056

Hep B, ped/adol 3 dose

90744

Special reports/forms

99080

Lesion, shave

113____

Hep B-Hib

90748

Disability/Workers comp

99455

Site: __________ Size: _____

Hib, 4 dose

90645

Radiology

Nail removal, partial

11730

HPV

90649

Nail removal, w/matrix

11750

IPV

90713

Skin tag, 1-15

11200

MMR

90707

Diagnoses

Medications

Units

Pneumonia, >2 y

90732

Ampicillin, up to 500mg

J0290

Pneumonia conjugate, <5 y

90669

B-12, up to 1,000 mcg

J3420

Td, >7 y

90718

Epinephrine, up to 1ml

J0170

Varicella

90716

Kenalog, 10mg

J3301

Immunizations & Injections

Units

Next office visit

Lidocaine, 10mg

J2001

Allergen, one

95115

Recheck

PRN

_______

D W

M Y

Normal saline, 1000cc

J7030

Allergen, multiple

95117

Instructions:

Phenergan, up to 50mg

J2550

Imm admin, one

90471

Progesterone, 150mg

J1055

Imm admin, each add’l

90472

Rocephin, 250mg

J0696

Imm admin, intranasal, one

90473

Testosterone, 200mg

J1080

Imm admin, intranasal, each add’l

90474

Referral

Tigan, up to 200 mg

J3250

Injection, joint, small

20600

To:

Toradol, 15mg

J1885

Injection, joint, intermediate

20605

Instructions:

Miscellaneous services

Injection, joint, major

20610

Injection, ther/proph/diag

90772

Injection, trigger point

20552

Physician signature

Supplies

X ____________________________________________________

Infectious & Parasitic Diseases

B00.9 Herpesviral infection, unspecified

A60.9 Anogenital herpesviral infection

B02.9 Zoster without complications

B27.00 Gammaherpesviral mononucleosis without complication

B27.01 Gammaherpesviral mononucleosis with polyneuropathy

B27.02 Gammaherpesviral mononucleosis with meningitis

B27.09 Gammaherpesviral mononucleosis with other complications

B27.10 Cytomegaloviral mononucleosis without complications

B27.11 Cytomegaloviral mononucleosis with polyneuropathy

B27.12 Cytomegaloviral mononucleosis with meningitis

B27.19 Cytomegaloviral mononucleosis with other complication

B27.80 Other infectious mononucleosis without complication

B27.81 Other infectious mononucleosis with polyneuropathy

B27.82 Other infectious mononucleosis with meningitis

B27.89 Other infectious mononucleosis with other complication

B27.90 Infectious mononucleosis, unspecified without complication

B27.91 Infectious mononucleosis, unspecified with polyneuropathy

B27.92 Infectious mononucleosis, unspecified with meningitis

B27.99 Infectious mononucleosis, unspecified with other complication

J02.0 Streptococcal pharyngitis

J03.00 Acute streptococcal tonsillitis, unspecified

J03.01 Acute recurrent streptococcal tonsillitis

J02.0 Streptococcal sore throat

B97.8 Other viral agents as the cause of diseases classified elsewhere

B07 Viral warts

Neoplasms Benign Neoplasms

D49.2 Neoplasm of unspecified behavior of bone, soft tissue, and skin

D23.9 Other benign neoplasm of skin, unspecified

Endocrine, Nutritional & Metabolic Disorders

Endocrine

E10.8 Type 1 diabetes mellitus with unspecified complications

E10.9 Type 1 diabetes mellitus without complications

E11.8 Type 2 diabetes mellitus with unspecified complications

E11.9 Type 2 diabetes mellitus without complications

E05.90 Thyrotoxicosis, unspecified without thyrotoxic crisis or storm

E03.9 Hypothyroidism, unspecified

Metabolic/Other

M10.9	Gout, unspecified
E78.0	Pure hypercholesterolemia
E78.2	Mixed hyperlipidemia
E66.1	Drug-induced obesity
E66.9	Obesity, unspecified
E66.3	Overweight
E66.09	Other obesity due to excess calories
Blood Diseases
D64.9	Anemia, unspecified

Mental Disorders

F41.9 Anxiety disorder, unspecified

F90.0 Attention-deficit hyperactivity disorder, predominantly inattentive type

F90.9 Attention-deficit hyperactivity disorder, unspecified type

F03 Unspecified dementia

F33.9 Major depressive disorder, recurrent, unspecified

Nervous System & Sense Organ Disorders

Nervous System Diseases

G56.00 Carpal tunnel syndrome, unspecified side

G56.01 Carpal tunnel syndrome, right side

G56.02 Carpal tunnel syndrome, left side

G40.90 Epilepsy, unspecified, not intractable

G40.901 Epilepsy, unspecified, not intractable, with status epilepticus

G40.909 Epilepsy, unspecified, not intractable, without status epilepticus

G43.90 Migraine, unspecified, not intractable

G44.039 Episodic paroxysmal hemicrania, not intractable Episodic paroxysmal hemicrania NOS

G44.049 Chronic paroxysmal hemicrania, not intractable Chronic paroxysmal hemicrania NOS

Eye Diseases

H10.9 Unspecified conjunctivitis

H53.10 Unspecified subjective visual disturbances

H53.11 Day blindness

Ear Diseases

H61.20 Impacted cerumen, unspecified ear

H61.21 Impacted cerumen, right ear

H61.22 Impacted cerumen, left ear

H61.23 Impacted cerumen, bilateral

H60.00 Abscess of external ear, unspecified ear

H60.01 Abscess of right external ear

H60.02 Abscess of left external ear

H60.03 Abscess of external ear, bilateral

H60.10 Cellulitis of external ear, unspecified ear

H60.11 Cellulitis of right external ear

H60.12 Cellulitis of left external ear

H60.13 Cellulitis of external ear, bilateral

H60.311 Diffuse otitis externa, right ear

H60.312 Diffuse otitis externa, left ear

H60.313 Diffuse otitis externa, bilateral

H60.319 Diffuse otitis externa, unspecified ear

H60.32 Hemorrhagic otitis externa

H60.321 Hemorrhagic otitis externa, right ear

H60.322 Hemorrhagic otitis externa, left ear

H60.323 Hemorrhagic otitis externa, bilateral

H60.329 Hemorrhagic otitis externa, unspecified ear

H60.391 Other infective otitis externa, right ear

H60.392 Other infective otitis externa, left ear

H60.393 Other infective otitis externa, bilateral

H60.399 Other infective otitis externa, unspecified ear

H66.001 Acute suppurative otitis media without spontaneous rupture of ear drum, right ear

H66.002 Acute suppurative otitis media without spontaneous rupture of ear drum, left ear

H66.003 Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral

H66.004 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, right ear

H66.005 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, left ear

H66.006 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral

H66.007 Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, unspecified ear

H66.009 Acute suppurative otitis media without spontaneous rupture of ear drum, unspecified ear

Circulatory System

Arrythmias

I48.0 Atrial fibrillation

Cardiac

I20.8 Other forms of angina pectoris

I20.9 Angina pectoris, unspecified

I25.701 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm

I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm

I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris

I25.119 Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris

I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris

I25.709 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unspecified angina pectoris

I25.711 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.718 Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris

I25.719 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unspecified angina pectoris

I25.721 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris

I25.729 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unspecified angina pectoris

I25.731 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris

I25.739 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unspecified angina pectoris

I25.751 Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm

I25.758 Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris

I25.759 Atherosclerosis of native coronary artery of transplanted heart with unspecified angina pectoris

I25.761 Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm

I25.768 Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris

I25.769 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unspecified angina pectoris

I25.791 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm

I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris

I25.799 Atherosclerosis of other coronary artery bypass graft(s) with unspecified angina pectoris

I50.9 Heart failure, unspecified

I35.0 Nonrheumatic aortic (valve) stenosis

I35.1 Nonrheumatic aortic (valve) insufficiency

I35.2 Nonrheumatic aortic (valve) stenosis with insufficiency

I35.8 Other nonrheumatic aortic valve disorders

I35.9 Nonrheumatic aortic valve disorder, unspecified

I39 Endocarditis and heart valve disorders in diseases classified elsewhere

I25.9 Chronic ischemic heart disease, unspecified

Vascular

R03.0 Elevated blood-pressure reading, without diagnosis of hypertension

I10 Essential (primary) hypertension

I95.1 Orthostatic hypotension

I73.9 Peripheral vascular disease, unspecified

I80.9 Phlebitis and thrombophlebitis of unspecified site

I87.2 Venous insufficiency (chronic) (peripheral)

I87.9 Disorder of vein, unspecified

Respiratory System

Lower Respiratory Tract

J45.909	Unspecified asthma, uncomplicated
J45.998	Other asthma
J20.0	Acute bronchitis due to Mycoplasma
	pneumoniae
J20.1	Acute bronchitis due to Hemophilus
	influenzae
J20.2	Acute bronchitis due to streptococcus
J20.3	Acute bronchitis due to coxsackievirus
J20.4	Acute bronchitis due to parainfluenza
	virus
J20.5	Acute bronchitis due to respiratory
	syncytial virus
J20.6	Acute bronchitis due to rhinovirus
J20.7	Acute bronchitis due to echovirus
J20.8	Acute bronchitis due to other specified
	organisms
J20.9	Acute bronchitis, unspecified
J44.9	Chronic obstructive pulmonary disease,
	unspecified
J18.8	Other pneumonia, unspecified
	organism
J18.9	Pneumonia, unspecified organism

Upper Respiratory Tract

J02.8 Acute pharyngitis due to other specified organisms

J02.9 Acute pharyngitis, unspecified

J30.0 Vasomotor rhinitis

J30.9 Allergic rhinitis, unspecified

J01.90 Acute sinusitis, unspecified

J01.91 Acute recurrent sinusitis, unspecified

J01.80 Other acute sinusitis

J01.81 Other acute recurrent sinusitis

J06.9 Acute upper respiratory infection, unspecified

Digestive System

K92.1	Melena
K59.00	Constipation, unspecified
K57.30	Diverticulosis of large intestine without
	perforation or abscess without bleeding
K57.50	Diverticulosis of both small and large
	intestine without perforation or abscess
	without bleeding
K57.90	Diverticulosis of intestine, part
	unspecified, without perforation or
	abscess without bleeding
K57.20	Diverticulitis of large intestine with
	perforation and abscess without
	bleeding
K57.40	Diverticulitis of both small and large
	intestine with perforation and abscess
	without bleeding
K57.52	Diverticulitis of both small and large
	intestine without perforation or abscess
	without bleeding
K57.80	Diverticulitis of intestine, part
	unspecified, with perforation and
	abscess without bleeding
K57.92	Diverticulitis of intestine, part
	unspecified, without perforation or
	abscess without bleeding
K29.70	Gastritis, unspecified, without bleeding
K29.90	Gastroduodenitis, unspecified, without
	bleeding
K52.8	Other specified noninfective
	gastroenteritis and colitis
K52.9	Noninfective gastroenteritis and colitis,
	unspecified
K21.9	Gastro-esophageal reflux disease
	without esophagitis
I84.20	Unspecified hemorrhoids without
	complication
K58.0	Irritable bowel syndrome with diarrhea
K58.9	Irritable bowel syndrome without
	diarrhea

Genitourinary System Urinary System Diseases

N20.2 Calculus of kidney with calculus of ureter

N20.9 Urinary calculus, unspecified

N30.00 Acute cystitis without hematuria

N30.01 Acute cystitis with hematuria

R31.0 Gross hematuria

R31.1 Benign essential microscopic hematuria

R31.2 Other microscopic hematuria

R31.9 Hematuria, unspecified

N28.9 Disorder of kidney and ureter, unspecified

N29 Other disorders of kidney and ureter in diseases classified elsewhere

N39.0 Urinary tract infection, site not specified

Male Genital Organ Diseases

N52.01 Erectile dysfunction due to arterial insufficiency

N52.02 Corporo-venous occlusive erectile dysfunction

N52.03 Combined arterial insufficiency and corporo-venous occlusive erectile dysfunction

N52.1 Erectile dysfunction due to diseases classified elsewhere

N52.2 Drug-induced erectile dysfunction

N52.31 Erectile dysfunction following radical prostatectomy

N52.32 Erectile dysfunction following radical cystectomy

N52.33 Erectile dysfunction following urethral surgery

N52.34 Erectile dysfunction following simple prostatectomy

N52.39 Other post-surgical erectile dysfunction

N53.8 Other male sexual dysfunction

N53.9 Unspecified male sexual dysfunction

F52.21 Male erectile disorder

N41.9 Inflammatory disease of prostate, unspecified

Breast Diseases

N63 Unspecified lump in breast

Female Genital Organ Diseases

Z87.44 Personal history of cervical dysplasia

N72 Inflammatory disease of cervix uteri

N87.9 Dysplasia of cervix uteri, unspecified

N76.0 Acute vaginitis

N76.1 Subacute and chronic vaginitis

N76.2 Acute vulvitis

N76.3 Subacute and chronic vulvitis

N76.4 Abscess of vulva

Disorders of Menstruation

N91.0 Primary amenorrhea

N91.1 Secondary amenorrhea

N91.2 Amenorrhea, unspecified

N95.9 Unspecified menopausal and perimenopausal disorder

N92.0 Excessive and frequent menstruation with regular cycle

N92.1 Excessive and frequent menstruation with irregular cycle

N94.4 Primary dysmenorrhea

N94.5 Secondary dysmenorrhea

N94.6 Dysmenorrhea, unspecified

N92.1 Excessive and frequent menstruation with irregular cycle

Pregnancy, Childbirth

O46.90 Antepartum hemorrhage, unspecified, unspecified trimester

Z39.2 Encounter for routine postpartum follow-up

Z33.1 Pregnant state, incidental

Z34.00 Encounter for supervision of normal first pregnancy, unspecified trimester

Z34.01 Encounter for supervision of normal first pregnancy, unspecified trimester

Z34.02 Encounter for supervision of normal first pregnancy, second trimester

Z34.03 Encounter for supervision of normal first pregnancy, third trimester

V22.1 Prenatal care, normal, other pregnancy

Z34.80 Encounter for supervision of other normal pregnancy, unspecified trimester

Z34.81 Encounter for supervision of other normal pregnancy, first trimester

Z34.82 Encounter for supervision of other normal pregnancy, second trimester

Z34.83 Encounter for supervision of other normal pregnancy, third trimester

Z34.90 Encounter for supervision of normal pregnancy, unspecified, unspecified trimester

Z34.91 Encounter for supervision of normal pregnancy, unspecified, first trimester

Z34.92 Encounter for supervision of normal pregnancy, unspecified, second trimester

Z34.93 Encounter for supervision of normal pregnancy, unspecified, third trimester

Skin, Subcutaneous Tissue

L70.0 Acne vulgaris

L70.1 Acne conglobata

L70.3 Acne tropica

L70.4 Infantile acne

L70.5 Acné excoriée des jeunes filles

L70.8 Other acne

L70.9 Acne, unspecified

L73.0 Acne keloid

L57.0 Actinic keratosis

L03.90 Cellulitis, unspecified

L03.91 Acute lymphangitis, unspecified

L03.129 Acute lymphangitis of unspecified part of limb

L03.119 Cellulitis of unspecified part of limb

L98.3 Eosinophilic cellulitis [Wells]

L23.9 Allergic contact dermatitis, unspecified cause

L24.9 Irritant contact dermatitis, unspecified cause

L25.9 Unspecified contact dermatitis, unspecified cause

L30.0 Nummular dermatitis

L30.2 Cutaneous autosensitization

L30.8 Other specified dermatitis

L30.9 Dermatitis, unspecified

L20.8 Other atopic dermatitis

L20.81 Atopic neurodermatitis

L20.82 Flexural eczema

L20.83 Infantile (acute) (chronic) eczema

L20.84 Intrinsic (allergic) eczema

L20.89 Other atopic dermatitis

L20.9 Atopic dermatitis, unspecified

L21.8 Other seborrheic dermatitis

L60.0 Ingrowing nail

B35.1 Tinea unguium

L44.9 Papulosquamous disorder, unspecified

L45 Papulosquamous disorders in diseases classified elsewhere

L98.9 Disorder of the skin and subcutaneous tissue, unspecified

L40.0 Psoriasis vulgaris

L40.1 Generalized pustular psoriasis

L40.2 Acrodermatitis continua

L40.3 Pustulosis palmaris et plantaris

L40.4 Guttate psoriasis

L40.8 Other psoriasis

L40.9 Psoriasis, unspecified

L71.0 Perioral dermatitis

L71.1 Rhinophyma

L71.8 Other rosacea

L71.9 Rosacea, unspecified

L72.0 Epidermal cyst

L72.1 Trichodermal cyst

L72.2 Steatocystoma multiplex

L72.8 Other follicular cysts of the skin and subcutaneous tissue

L72.9 Follicular cyst of the skin and subcutaneous tissue, unspecified

L82.0 Inflamed seborrheic keratosis

L82.1 Other seborrheic keratosis

L98.491 Non-pressure chronic ulcer of skin of other sites limited to breakdown of skin

L98.492 Non-pressure chronic ulcer of skin of other sites with fat layer exposed

L98.493 Non-pressure chronic ulcer of skin of other sites with necrosis of muscle

L98.494 Non-pressure chronic ulcer of skin of other sites with necrosis of bone

L98.499 Non-pressure chronic ulcer of skin of other sites with unspecified severity

L50.9 Urticaria, unspecified

Musculoskeletal & Connective Tissue

General

M12.9 Arthropathy, unspecified

M60.80 Other myositis, unspecified site

M60.811 Other myositis, right shoulder

M60.812 Other myositis, left shoulder

M60.819 Other myositis, unspecified shoulder

M60.821 Other myositis, right upper arm

M60.822 Other myositis, left upper arm

M60.829 Other myositis, unspecified upper arm

M60.831 Other myositis, right forearm

M60.832 Other myositis, left forearm

M60.839 Other myositis, unspecified forearm

M60.841 Other myositis, right hand

M60.842 Other myositis, left hand

M60.849 Other myositis, unspecified hand

M60.851 Other myositis, right thigh

M60.852 Other myositis, left thigh

M60.859	Other myositis, unspecified thigh
M60.861	Other myositis, right lower leg
M60.862	Other myositis, left lower leg
M60.869	Other myositis, unspecified lower leg
M60.871	Other myositis, right ankle and foot
M60.872	Other myositis, left ankle and foot
M60.879	Other myositis, unspecified ankle and
	foot
M60.88	Other myositis, Other site
M60.89	Other myositis, multiple sites
M60.9	Myositis, unspecified
M79.1	Myalgia
M79.7	Fibromyalgia
M15.9	Polyosteoarthritis, unspecified
M19.90	Unspecified osteoarthritis, unspecified
	site
M81.8	Other osteoporosis without current
	pathological fracture
M05.70	Rheumatoid arthritis with rheumatoid
	factor of unspecified site without organ
	or systems involvement
M05.71	Rheumatoid arthritis with rheumatoid
	factor of shoulder without organ or
	systems involvement
M05.711	Rheumatoid arthritis with rheumatoid
	factor of right shoulder without organ or
	systems involvement
M05.712	Rheumatoid arthritis with rheumatoid
	factor of left shoulder without organ or
	systems involvement
M05.719	Rheumatoid arthritis with rheumatoid
	factor of unspecified shoulder without
	organ or systems involvement
M05.721	Rheumatoid arthritis with rheumatoid
	factor of right elbow without organ or
	systems involvement
M05.722	Rheumatoid arthritis with rheumatoid
	factor of left elbow without organ or
	systems involvement
M05.729	Rheumatoid arthritis with rheumatoid
	factor of unspecified elbow without
	organ or systems involvement
M05.73	Rheumatoid arthritis with rheumatoid
	factor of wrist without organ or systems
	involvement
M05.731	Rheumatoid arthritis with rheumatoid
	factor of right wrist without organ or
	systems involvement
M05.732	Rheumatoid arthritis with rheumatoid
	factor of left wrist without organ or
	systems involvement
M05.739	Rheumatoid arthritis with rheumatoid
	factor of unspecified wrist without organ
	or systems involvement
M05.74	Rheumatoid arthritis with rheumatoid
	factor of hand without organ or systems
	involvement
M05.741	Rheumatoid arthritis with rheumatoid
	factor of right hand without organ or
	systems involvement
M05.742	Rheumatoid arthritis with rheumatoid
	factor of left hand without organ or
	systems involvement
M05.749	Rheumatoid arthritis with rheumatoid
	factor of unspecified hand without
	organ or systems involvement
M05.75	Rheumatoid arthritis with rheumatoid
	factor of hip without organ or systems
	involvement
M05.751	Rheumatoid arthritis with rheumatoid
	factor of right hip without organ or
	systems involvement
M05.752	Rheumatoid arthritis with rheumatoid
	factor of left hip without organ or
	systems involvement
M05.759	Rheumatoid arthritis with rheumatoid
	factor of unspecified hip without organ
	or systems involvement

M05.76 Rheumatoid arthritis with rheumatoid factor of knee without organ or systems involvement

M05.761 Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement

M05.762 Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement

M05.769 Rheumatoid arthritis with rheumatoid factor of unspecified knee without organ or systems involvement

M05.77 Rheumatoid arthritis with rheumatoid factor of ankle and foot without organ or systems involvement

M05.771 Rheumatoid arthritis with rheumatoid factor of right ankle and foot without organ or systems involvement

M05.772 Rheumatoid arthritis with rheumatoid factor of left ankle and foot without organ or systems involvement

M05.779 Rheumatoid arthritis with rheumatoid factor of unspecified ankle and foot without organ or systems involvement

M05.79 Rheumatoid arthritis with rheumatoid factor of multiple sites without organ or systems involvement

M05.80 Other rheumatoid arthritis with rheumatoid factor of unspecified site

M05.811 Other rheumatoid arthritis with rheumatoid factor of right shoulder

M05.812 Other rheumatoid arthritis with rheumatoid factor of left shoulder

M05.819 Other rheumatoid arthritis with rheumatoid factor of unspecified shoulder

M05.82 Other rheumatoid arthritis with rheumatoid factor of elbow

M05.821 Other rheumatoid arthritis with rheumatoid factor of right elbow

M05.822 Other rheumatoid arthritis with rheumatoid factor of left elbow

M05.829 Other rheumatoid arthritis with rheumatoid factor of unspecified elbow

M05.83 Other rheumatoid arthritis with rheumatoid factor of wrist

M05.831 Other rheumatoid arthritis with rheumatoid factor of right wrist

M05.832 Other rheumatoid arthritis with rheumatoid factor of left wrist

M05.839 Other rheumatoid arthritis with rheumatoid factor of unspecified wrist

M05.84 Other rheumatoid arthritis with rheumatoid factor of hand

M05.841 Other rheumatoid arthritis with rheumatoid factor of right hand

M05.842 Other rheumatoid arthritis with rheumatoid factor of left hand

M05.849 Other rheumatoid arthritis with rheumatoid factor of unspecified hand

M05.85 Other rheumatoid arthritis with rheumatoid factor of hip

M05.851 Other rheumatoid arthritis with rheumatoid factor of right hip

M05.852 Other rheumatoid arthritis with rheumatoid factor of left hip

M05.859 Other rheumatoid arthritis with rheumatoid factor of unspecified hip

M05.86 Other rheumatoid arthritis with rheumatoid factor of knee

M05.861 Other rheumatoid arthritis with rheumatoid factor of right knee

M05.862 Other rheumatoid arthritis with rheumatoid factor of left knee

M05.869 Other rheumatoid arthritis with rheumatoid factor of unspecified knee

M05.87 Other rheumatoid arthritis with rheumatoid factor of ankle and foot

M05.871	Other rheumatoid arthritis with	M06.219	Rheumatoid bursitis, unspecified	M06.83	Other specified rheumatoid arthritis,
	rheumatoid factor of right ankle and		shoulder		wrist
	foot	M06.22	Rheumatoid bursitis, elbow	M06.831	Other specified rheumatoid arthritis,
M05.872	Other rheumatoid arthritis with	M06.221	Rheumatoid bursitis, right elbow		right wrist
	rheumatoid factor of left ankle and foot	M06.222	Rheumatoid bursitis, left elbow	M06.832	Other specified rheumatoid arthritis, left
M05.879	Other rheumatoid arthritis with	M06.229	Rheumatoid bursitis, unspecified elbow		wrist
	rheumatoid factor of unspecified ankle	M06.23	Rheumatoid bursitis, wrist	M06.839	Other specified rheumatoid arthritis,
	and foot	M06.231	Rheumatoid bursitis, right wrist		unspecified wrist
M05.89	Other rheumatoid arthritis with	M06.232	Rheumatoid bursitis, left wrist	M06.84	Other specified rheumatoid arthritis,
	rheumatoid factor of multiple sites	M06.239	Rheumatoid bursitis, unspecified wrist		hand
M05.9	Rheumatoid arthritis with rheumatoid	M06.24	Rheumatoid bursitis, hand	M06.841	Other specified rheumatoid arthritis,
	factor, unspecified	M06.241	Rheumatoid bursitis, right hand		right hand
M06.00	Rheumatoid arthritis without	M06.242	Rheumatoid bursitis, left hand	M06.842	Other specified rheumatoid arthritis, left
	rheumatoid factor, unspecified site	M06.249	Rheumatoid bursitis, unspecified hand		hand
M06.01	Rheumatoid arthritis without	M06.25	Rheumatoid bursitis, hip	M06.849	Other specified rheumatoid arthritis,
	rheumatoid factor, shoulder	M06.251	Rheumatoid bursitis, right hip		unspecified hand
M06.011	Rheumatoid arthritis without	M06.252	Rheumatoid bursitis, left hip	M06.85	Other specified rheumatoid arthritis, hip
	rheumatoid factor, right shoulder	M06.259	Rheumatoid bursitis, unspecified hip	M06.851	Other specified rheumatoid arthritis,
M06.012	Rheumatoid arthritis without	M06.26	Rheumatoid bursitis, knee		right hip
	rheumatoid factor, left shoulder	M06.261	Rheumatoid bursitis, right knee	M06.852	Other specified rheumatoid arthritis, left
M06.019	Rheumatoid arthritis without	M06.262	Rheumatoid bursitis, left knee		hip
	rheumatoid factor, unspecified shoulder	M06.269	Rheumatoid bursitis, unspecified knee	M06.859	Other specified rheumatoid arthritis,
M06.021	Rheumatoid arthritis without	M06.27	Rheumatoid bursitis, ankle and foot		unspecified hip
	rheumatoid factor, right elbow	M06.271	Rheumatoid bursitis, right ankle and	M06.86	Other specified rheumatoid arthritis,
M06.022	Rheumatoid arthritis without		foot		knee
	rheumatoid factor, left elbow	M06.272	Rheumatoid bursitis, left ankle and foot	M06.861	Other specified rheumatoid arthritis,
M06.029	Rheumatoid arthritis without	M06.279	Rheumatoid bursitis, unspecified ankle		right knee
	rheumatoid factor, unspecified elbow		and foot	M06.862	Other specified rheumatoid arthritis, left
M06.03	Rheumatoid arthritis without	M06.28	Rheumatoid bursitis, vertebrae		knee
	rheumatoid factor, wrist	M06.29	Rheumatoid bursitis, multiple sites	M06.869	Other specified rheumatoid arthritis,
M06.031	Rheumatoid arthritis without	M06.30	Rheumatoid nodule, unspecified site		unspecified knee
	rheumatoid factor, right wrist	M06.31	Rheumatoid nodule, shoulder	M06.87	Other specified rheumatoid arthritis,
M06.032	Rheumatoid arthritis without	M06.311	Rheumatoid nodule, right shoulder		ankle and foot
	rheumatoid factor, left wrist	M06.312	Rheumatoid nodule, left shoulder	M06.871	Other specified rheumatoid arthritis,
M06.039	Rheumatoid arthritis without	M06.319	Rheumatoid nodule, unspecified		right ankle and foot
	rheumatoid factor, unspecified wrist		shoulder	M06.872	Other specified rheumatoid arthritis,
M06.04	Rheumatoid arthritis without	M06.32	Rheumatoid nodule, elbow		left ankle and foot
	rheumatoid factor, hand	M06.321	Rheumatoid nodule, right elbow	M06.879	Other specified rheumatoid arthritis,
M06.041	Rheumatoid arthritis without	M06.322	Rheumatoid nodule, left elbow		unspecified ankle and foot
	rheumatoid factor, right hand	M06.329	Rheumatoid nodule, unspecified elbow	M06.88	Other specified rheumatoid arthritis,
M06.042	Rheumatoid arthritis without	M06.33	Rheumatoid nodule, wrist	M06.89	Other specified rheumatoid arthritis,
	rheumatoid factor, left hand	M06.331	Rheumatoid nodule, right wrist		multiple sites
M06.049	Rheumatoid arthritis without	M06.332	Rheumatoid nodule, left wrist	M06.9	Rheumatoid arthritis, unspecified
	rheumatoid factor, unspecified hand	M06.339	Rheumatoid nodule, unspecified wrist	M65.9	Synovitis and tenosynovitis,
M06.05	Rheumatoid arthritis without	M06.34	Rheumatoid nodule, hand		unspecified
	rheumatoid factor, hip	M06.341	Rheumatoid nodule, right hand
M06.051	Rheumatoid arthritis without	M06.342	Rheumatoid nodule, left hand	Lower Extremity
	rheumatoid factor, right hip	M06.349	Rheumatoid nodule, unspecified hand	M79.601	Pain in right arm
M06.052	Rheumatoid arthritis without	M06.352	Rheumatoid nodule, left hip	M79.602	Pain in left arm
	rheumatoid factor, left hip	M06.359	Rheumatoid nodule, unspecified hip	M79.603	Pain in arm, unspecified
M06.059	Rheumatoid arthritis without	M06.36	Rheumatoid nodule, knee	M79.604	Pain in right leg
	rheumatoid factor, unspecified hip	M06.361	Rheumatoid nodule, right knee	M79.605	Pain in left leg
M06.06	Rheumatoid arthritis without	M06.362	Rheumatoid nodule, left knee	M79.606	Pain in leg, unspecified
	rheumatoid factor, knee	M06.369	Rheumatoid nodule, unspecified knee	M79.609	Pain in unspecified limb
M06.061	Rheumatoid arthritis without	M06.37	Rheumatoid nodule, ankle and foot	M79.621	Pain in right upper arm
	rheumatoid factor, right knee	M06.371	Rheumatoid nodule, right ankle and	M79.622	Pain in left upper arm
M06.062	Rheumatoid arthritis without		foot	M79.629	Pain in unspecified upper arm
	rheumatoid factor, left knee	M06.372	Rheumatoid nodule, left ankle and foot	M79.631	Pain in right forearm
M06.069	Rheumatoid arthritis without	M06.379	Rheumatoid nodule, unspecified ankle	M79.632	Pain in left forearm
	rheumatoid factor, unspecified knee		and foot	M79.639	Pain in unspecified forearm
M06.07	Rheumatoid arthritis without	M06.38	Rheumatoid nodule, vertebrae	M79.641	Pain in right hand
	rheumatoid factor, ankle and foot	M06.39	Rheumatoid nodule, multiple sites	M79.642	Pain in left hand
M06.071	Rheumatoid arthritis without	M06.80	Other specified rheumatoid arthritis,	M79.643	Pain in unspecified hand
	rheumatoid factor, right ankle and foot		unspecified site	M79.644	Pain in right finger(s)
M06.072	Rheumatoid arthritis without	M06.81	Other specified rheumatoid arthritis,	M79.645	Pain in left finger(s)
	rheumatoid factor, left ankle and foot		shoulder	M79.646	Pain in unspecified (s)
M06.079	Rheumatoid arthritis without	M06.811	Other specified rheumatoid arthritis,	M79.651	Pain in right thigh
	rheumatoid factor, unspecified ankle		right shoulder	M79.652	Pain in left thigh
	and foot	M06.812	Other specified rheumatoid arthritis, left	M79.659	Pain in unspecified thigh
M06.08	Rheumatoid arthritis without		shoulder	M79.661	Pain in right lower leg
	rheumatoid factor, vertebrae	M06.819	Other specified rheumatoid arthritis,	M79.662	Pain in left lower leg
M06.09	Rheumatoid arthritis without		unspecified shoulder	M79.669	Pain in unspecified lower leg
	rheumatoid factor, multiple sites	M06.82	Other specified rheumatoid arthritis,	M79.671	Pain in right foot
M06.1	Adult-onset Still's disease		elbow	M79.672	Pain in left foot
M06.2	Rheumatoid bursitis	M06.821	Other specified rheumatoid arthritis,	M79.673	Pain in unspecified foot
M06.20	Rheumatoid bursitis, unspecified site		right elbow	M79.674	Pain in right toe(s)
M06.21	Rheumatoid bursitis, shoulder	M06.822	Other specified rheumatoid arthritis, left	M79.675	Pain in left toe(s)
M06.211	Rheumatoid bursitis, right shoulder		elbow	M79.676	Pain in unspecified toe(s)
M06.212	Rheumatoid bursitis, left shoulder	M06.829	Other specified rheumatoid arthritis,
			unspecified elbow

Spine/Torso		G44.321	Chronic post-traumatic headache,	S93.409A Sprain of unspecified ligament of
M54.14	Radiculopathy, thoracic region		intractable		unspecified ankle; initial encounter
M54.15	Radiculopathy, thoracolumbar region	G44.329	Chronic post-traumatic headache, not	S93.409D Sprain of unspecified ligament of
M54.16	Radiculopathy, lumbar region		intractable		unspecified ankle; subsequent
M54.17	Radiculopathy, lumbosacral region	G44.40	Drug-induced headache, not		encounter
M51.14	Intervertebral disc disorders with		elsewhere classified, not intractable	S96.919A Strain of unspecified muscle and
	radiculopathy, thoracic region	G44.41	Drug-induced headache, not		tendon at ankle and foot level,
M51.15	Intervertebral disc disorders with		elsewhere classified, intractable		unspecified side; initial encounter
	radiculopathy, thoracolumbar region	G44.51	Hemicrania continua	S96.919D Strain of unspecified muscle and
M51.16	Intervertebral disc disorders with	G44.52	New daily persistent headache		tendon at ankle and foot level,
	radiculopathy, lumbar region		(NDPH)		unspecified side; subsequent
M51.17	Intervertebral disc disorders with	G44.53	Primary thunderclap headache		encounter
	radiculopathy, lumbosacral region	G44.59	Other complicated headache	S93.609A	Unspecified sprain of unspecified foot;
M53.9	Dorsopathy, unspecified		syndrome		initial encounter
		G44.81	Hypnic headache	S93.609D Unspecified sprain of unspecified foot;
Upper Extremity		G44.82	Headache associated with sexual		subsequent encounter
M75.10	Rotator cuff syndrome, unspecified		activity	S63.90A	Initial encounter; Sprain of
	shoulder	G44.83	Primary cough headache		unspecified part of unspecified wrist
M75.11	Rotator cuff syndrome, right shoulder	G44.84	Primary exertional headache		and hand
M75.12	Rotator cuff syndrome, left shoulder	G44.85	Primary stabbing headache	S63.90D	Subsequent encounter; Sprain of
		G44.89	Other headache syndrome		unspecified part of unspecified wrist
Perinatal (Infant)		R32	Unspecified urinary incontinence		and hand
P92.0	Vomiting of newborn	R22.0	Localized swelling, mass and lump,	S63.509A	Initial encounter; Unspecified sprain
P92.1	Regurgitation and rumination of		head		of unspecified wrist
	newborn	R22.1	Localized swelling, mass and lump,	S63.509D Subsequent encounter; Unspecified
P92.2	Slow feeding of newborn		neck		sprain of unspecified wrist
P92.3	Underfeeding of newborn	R22.2	Localized swelling, mass and lump,	S66.919A Strain of unspecified muscle, fascia
P92.4	Overfeeding of newborn		trunk		and tendon at wrist and hand level of
P92.5	Neonatal difficulty in feeding at breast	R22.30	Localized swelling, mass and lump,		unspecified side; Initial encounter
P92.8	Other feeding problems of newborn		upper limb, unspecified side	S66.919D Strain of unspecified muscle, fascia
P92.9	Feeding problem of newborn,	R22.31	Localized swelling, mass and lump,		and tendon at wrist and hand level of
	unspecified		right upper limb		unspecified side; Subsequent
		R22.32	Localized swelling, mass and lump,		encounter
Signs & Symptoms			left upper limb	S83.90A	Initial encounter; Sprain of
R10.0	Acute abdomen	R22.33	Localized swelling, mass and lump,		unspecified site of knee, unspecified
R10.83	Colic		upper limb, bilateral		side
R10.9	Unspecified abdominal pain	R22.40	Localized swelling, mass and lump,	S83.90D	Subsequent encounter; Sprain of
R87.619	Unspecified abnormal cytological		lower limb, unspecified side		unspecified site of knee, unspecified
	findings in specimens from cervix	R22.41	Localized swelling, mass and lump,	S86.919A	Initial encounter; Strain of
	uteri		right lower limb		unspecified muscle(s) and tendon(s)
M25.50	Pain in unspecified joint	R22.42	Localized swelling, mass and lump,		at lower leg level, unspecified leg
K62.5	Hemorrhage of anus and rectum		left lower limb	S86.919D Subsequent encounter; Strain of
R07.81	Pleurodynia	R22.43	Localized swelling, mass and lump,		unspecified muscle(s) and tendon(s)
R07.82	Intercostal pain		lower limb, bilateral		at lower leg level, unspecified leg
R07.89	Other chest pain	R22.9	Localized swelling, mass and lump,	S16.1A	Initial encounter; Strain of muscle,
R07.9	Chest pain, unspecified		unspecified		fascia and tendon at neck level
R05	Cough	R59.0	Localized enlarged lymph nodes	S16.1D	Subsequent encounter; Strain of
R19.7	Diarrhea, unspecified	R59.1	Generalized enlarged lymph nodes		muscle, fascia and tendon at neck
R42	Dizziness and giddiness	R59.9	Enlarged lymph nodes, unspecified		level
R13.10	Dysphagia, unspecified	R53.0	Neoplastic (malignant) related fatigue	S13.4A	Initial encounter; Sprain of ligaments
R13.11	Dysphagia, oral phase	R53.1	Weakness		of cervical spine
R13.12	Dysphagia, oropharyngeal phase	R53.2	Functional quadriplegia	S13.4D	Subsequent encounter; Sprain of
R13.13	Dysphagia, pharyngeal phase	R53.81	Other malaise		ligaments of cervical spine
R13.14	Dysphagia, pharyngoesophageal	R53.83	Other fatigue	S13.8A	Initial encounter; Sprain of joints and
	phase	G93.3	Postviral fatigue syndrome		ligaments of other parts of neck
R13.19	Other dysphagia	R11.1	Nausea alone	S13.8D	Subsequent encounter; Sprain of
R30.0	Dysuria	R11.0	Nausea with vomiting		joints and ligaments of other parts of
R30.9	Painful micturition, unspecified	M25.561	Pain in right knee		neck
R60.0	Localized edema	M25.562	Pain in left knee	S43.409A	Initial encounter; Unspecified sprain
R60.1	Generalized edema	M25.569	Pain in unspecified knee		of unspecified shoulder joint
R60.9	Edema, unspecified	M54.5	Low back pain	S43.409D Subsequent encounter; Unspecified
R63.3	Feeding difficulties	R00.2	Palpitations		sprain of unspecified shoulder joint
R50.2	Drug induced fever	R35.8	Other polyuria	S43.90A	Initial encounter; Sprain of
R50.8	Other specified fever	R21	Rash and other nonspecific skin		unspecified parts of shoulder girdle,
R50.9	Fever, unspecified		eruption		unspecified side
E74.9	Disorder of carbohydrate metabolism,	R20.1	Hypoesthesia of skin	S43.90D	Subsequent encounter; Sprain of
	unspecified	R20.2	Paresthesia of skin		unspecified parts of shoulder girdle,
G44.10	Vascular headache, not elsewhere	R20.3	Hyperesthesia		unspecified side
	classified, not intractable	R20.8	Other disturbances of skin sensation	S46.919A	Strain of unspecified muscle, fascia
G44.11	Vascular headache, not elsewhere	R20.9	Unspecified disturbances of skin		and tendon at shoulder and upper
	classified, intractable		sensation		arm level, unspecified arm; Initial
G44.301	Post-traumatic headache,	R06.02	Shortness of breath		encounter
	unspecified, intractable	R55	Syncope and collapse	S46.919D Strain of unspecified muscle, fascia
G44.309	Post-traumatic headache,	R35.0	Frequency of micturition		and tendon at shoulder and upper
	unspecified, not intractable	R11.2	Projectile vomiting		arm level, unspecified arm;
G44.311	Acute post-traumatic headache,	R11.3	Other vomiting without nausea		Subsequent encounter
	intractable	R63.4	Abnormal weight loss
G44.319	Acute post-traumatic headache, not			Other Trauma, Adverse Effects
	Intractable	Injuries & Adverse Effects		S00.01A	Abrasion of scalp; Initial encounter
		Dislocations, Sprains & Strains

S00.01D	Abrasion of scalp; Subsequent	S30.817D Abrasion of anus; Subsequent		S00.531D Contusion of lip; Subsequent
	encounter		encounter		encounter
S00.219A	Abrasion of unspecified eyelid and	S40.219A	Abrasion of unspecified shoulder;	S00.532A	Contusion of oral cavity; Initial
	periocular area; Initial encounter		Initial encounter		encounter
S00.219D Abrasion of unspecified eyelid and		S40.219D Abrasion of unspecified shoulder;		S00.532D Contusion of oral cavity; Subsequent
	periocular area; Subsequent		Subsequent encounter		encounter
	encounter	S40.819A	Abrasion of unspecified upper arm;	S10.0A	Contusion of throat; Initial encounter
S00.31A	Abrasion of nose; Initial encounter		Initial encounter	S10.0D	Contusion of throat; Subsequent
S00.31D	Abrasion of nose; Subsequent	S40.819D Abrasion of unspecified upper arm;			encounter
	encounter		Subsequent encounter	S10.83A	Contusion of other part of neck; Initial
S00.419A	Abrasion of unspecified ear; Initial	S50.319A	Abrasion of unspecified elbow; Initial		encounter
	encounter		encounter	S10.83D	Contusion of other part of necks;
S00.419D Abrasion of unspecified ear;		S50.319D Abrasion of unspecified elbow;			Subsequent encounter
	Subsequent encounter		Subsequent encounter	S10.93A	Contusion of unspecified part of neck;
S00.511A	Abrasion of lip; Initial encounter	S50.819A	Abrasion of unspecified forearm;		Initial encounter
S00.511D Abrasion of lip; Subsequent			Initial encounter	S10.93D	Contusion of unspecified part of neck;
	encounter	S50.819D Abrasion of unspecified forearm;			Subsequent encounter
S00.512A	Abrasion of oral cavity; Initial		Subsequent encounter	S20.00A	Contusion of breast, unspecified
	encounter	S60.319A	Abrasion of unspecified thumb; Initial		breast; Initial encounter
S00.512D Abrasion of oral cavity; Subsequent			encounter	S20.00D	Contusion of breast, unspecified
	encounter	S60.319D Abrasion of unspecified thumb;			breast; Subsequent encounter
S10.11A	Abrasion of throat; Initial encounter		Subsequent encounter	S20.219A	Contusion of unspecified front wall of
S10.11D	Abrasion of throat; Subsequent	S60.419A	Abrasion of unspecified finger; Initial		thorax; Initial encounter
	encounter		encounter	S20.219D Contusion of unspecified front wall of
S10.81A	Abrasion of other part of neck; Initial	S60.419D Abrasion of unspecified finger;			thorax; Subsequent encounter
	encounter		Subsequent encounter	S20.229A Contusion of unspecified back wall of
S10.81S	Abrasion of other part of necks	S60.519A	Abrasion of unspecified hand; Initial		thorax; Initial encounter
	subsequent encounter		encounter	S20.229D Contusion of unspecified back wall of
S10.91A	Abrasion of unspecified part of neck;	S60.519D Abrasion of unspecified hand;			thorax; Subsequent encounter
	Initial encounter		Subsequent encounter	S30.00A	Contusion of lower back and pelvis;
S10.91D	Abrasion of unspecified part of neck;	S60.819A	Abrasion of unspecified wrist; Initial		Initial encounter
	Subsequent encounter		encounter	S30.00D	Contusion of lower back and pelvis;
S20.119A Abrasion of breast, unspecified		S60.819D Abrasion of unspecified wrist;			Subsequent encounter
	breast; Initial encounter		Subsequent encounter	S30.1A	Contusion of abdominal wall; Initial
S20.119D Abrasion of breast, unspecified		S70.219A	Abrasion, unspecified hip; Initial		encounter
	breast; Subsequent encounter		encounter	S30.1D	Contusion of abdominal wall;
S20.319A Abrasion of unspecified front wall of		S70.219D Abrasion, unspecified hip;			Subsequent encounter
	thorax; Initial encounter		Subsequent encounter	S30.21A	Contusion of penis; Initial encounter
S20.319D Abrasion of unspecified front wall of		S70.319A	Abrasion, unspecified thigh; Initial	S30.21D	Contusion of penis; Subsequent
	thorax; Subsequent encounter		encounter		encounter
S20.419A Abrasion of unspecified back wall of		S70.319D Abrasion, unspecified thigh;		S30.22A	Contusion of scrotum and testes;
	thorax; Initial encounter		Subsequent encounter		Initial encounter
S20.419D Abrasion of unspecified back wall of		S80.219A	Abrasion, unspecified knee; Initial	S30.22D	Contusion of scrotum and testes;
	thorax; Subsequent encounter		encounter		Subsequent encounter
S20.91A	Abrasion of unspecified parts of	S80.219D Abrasion, unspecified knee;		S30.23A	Contusion of vagina and vulva; Initial
	thorax; Initial encounter		Subsequent encounter		encounter
S20.91D	Abrasion of unspecified parts of	S90.413A	Abrasion, unspecified great toe; Initial	S30.23D	Contusion of vagina and vulva;
	thorax; Subsequent encounter		encounter		Subsequent encounter
S30.810A Abrasion of lower back and pelvis;		S90.413D Abrasion, unspecified great toe;		S30.201A Contusion of unspecified external
	Initial encounter		Subsequent encounter		genital organs, male; Initial encounter
S30.810D Abrasion of lower back and pelvis;		S90.416A	Abrasion, unspecified lesser toe(s);	S30.201D Contusion of unspecified external
	Subsequent encounter		Initial encounter		genital organs, male; Subsequent
S30.811A	Abrasion of abdominal wall; Initial	S90.416D Abrasion, unspecified lesser toe(s);			encounter
	encounter		Subsequent encounter	S30.202A Contusion of unspecified external
S30.811D Abrasion of abdominal wall;		S90.519A	Abrasion, unspecified ankle; Initial		genital organs, female; Initial
	Subsequent encounter		encounter		encounter
S30.812A	Abrasion of penis; Initial encounter	S90.519D Abrasion, unspecified ankle;		S30.202D Contusion of unspecified external
S30.812D Abrasion of penis; Subsequent			Subsequent encounter		genital organs, female; Subsequent
	encounter	S90.819A	Abrasion, unspecified foot; Initial		encounter
S30.813A	Abrasion of scrotum and testes; Initial		encounter	S30.3A	Contusion of anus; Initial encounter
	encounter	S90.819D Abrasion, unspecified foot;		S30.3D	Contusion of anus; Subsequent
S30.813D Abrasion of scrotum and testes;			Subsequent encounter		encounter
	Subsequent encounter	S00.03A	Contusion of scalp; Initial encounter	S40.019A	Contusion of unspecified shoulder;
S30.814A	Abrasion of vagina and vulva; Initial	S00.03D	Contusion of scalp; Subsequent		Initial encounter
	encounter		encounter	S40.019D Contusion of unspecified shoulder;
S30.814D Abrasion of vagina and vulva;		S00.19A	Contusion of unspecified eyelid and		Subsequent encounter
	Subsequent encounter		periocular area; Initial encounter	S40.029A	Contusion of unspecified upper arm;
S30.815A	Abrasion of unspecified external	S00.19D	Contusion of unspecified eyelid and		Initial encounter
	genital organs, male; Initial encounter		periocular area; Subsequent	S40.029D Contusion of unspecified upper arm;
S30.815D Abrasion of unspecified external			encounter		Subsequent encounter
	genital organs, male; Subsequent	S00.33A	Contusion of nose; Initial encounter	S50.00A	Contusion of unspecified elbow; Initial
	encounter	S00.33D	Contusion of nose; Subsequent		encounter
S30.816A Abrasion of unspecified external			encounter	S50.00D	Contusion of unspecified elbow;
	genital organs, female; Initial	S00.439A	Contusion of unspecified ear; Initial		Subsequent encounter
	encounter		encounter	S50.10A	Contusion of unspecified forearm;
S30.816D Abrasion of unspecified external		S00.439D Contusion of unspecified ear;			Initial encounter
	genital organs, female; Subsequent		Subsequent encounter	S50.10D	Contusion of unspecified forearm;
	encounter	S00.531A	Contusion of lip; Initial encounter		Subsequent encounter
S30.817A	Abrasion of anus; Initial encounter			S60.019	Contusion of unspecified thumb; Initial
					encounter

S60.019	Contusion of unspecified thumb;	S10.96D	Insect bite of unspecified part of neck;	S40.269D Insect bite of unspecified shoulder;
	Subsequent encounter		Subsequent encounter		Subsequent encounter
S60.00A	Contusion of unspecified finger	S20.161A	Insect bite of breast, right breast;	S40.869A	Insect bite of unspecified upper arm;
	without damage to nail; Initial		Initial encounter		Initial encounter
	encounter	S20.161D Insect bite of breast, right breast;		S40.869D Insect bite of unspecified upper arm;
S60.00D	Contusion of unspecified finger		Subsequent encounter		Subsequent encounter
	without damage to nail; Subsequent	S20.162A	Insect bite of breast, left breast; Initial	S50.369A	Insect bite of unspecified elbow; Initial
	encounter		encounter		encounter
S60.229A	Contusion of unspecified hand; Initial	S20.162D Insect bite of breast, left breast;		S50.369D Insect bite of unspecified elbow;
	encounter		Subsequent encounter		Subsequent encounter
S60.229D Contusion of unspecified hand;		S20.169A	Insect bite of breast, unspecified	S50.869A	Insect bite of unspecified forearm;
	Subsequent encounter		breast; Initial encounter		Initial encounter
S60.211A	Contusion of right wrist; Initial	S20.169D Insect bite of breast, unspecified		S50.869D Insect bite of unspecified forearm;
	encounter		breast; Subsequent encounter		Subsequent encounter
S60.211D Contusion of right wrist; Subsequent		S20.361A	Insect bite of right front wall of thorax;	S60.369A	Insect bite of unspecified thumb;
	encounter		Initial encounter		Initial encounter
S60.212A	Contusion of left wrist; Initial	S20.361D Insect bite of right front wall of thorax;		S60.369D Insect bite of unspecified thumb;
	encounter		Subsequent encounter		Subsequent encounter
S60.212D Contusion of left wrist; Subsequent		S20.361S	Insect bite of right front wall of thorax;	S60.468A	Insect bite of other finger; Initial
	encounter		Subsequent encounter		encounter
S60.219A	Contusion of unspecified wrist; Initial	S20.362A	Insect bite of left front wall of thorax;	S60.468D Insect bite of other finger; Subsequent
	encounter		Initial encounter		encounter
S60.219D Contusion of unspecified wrist;		S20.362D Insect bite of left front wall of thorax;		S60.469A	Insect bite of unspecified finger; Initial
	Subsequent encounter		Subsequent encounter		encounter
S70.00A	Contusion, unspecified hip; Initial	S20.369A	Insect bite of unspecified front wall of	S60.469D Insect bite of unspecified finger;
	encounter		thorax; Initial encounter		Subsequent encounter
S70.00D	Contusion, unspecified hip;	S20.369D Insect bite of unspecified front wall of		S60.569A	Insect bite of unspecified hand; Initial
	Subsequent encounter		thorax; Subsequent encounter		encounter
S70.10A	Contusion, unspecified thigh; Initial	S20.461A	Insect bite of right back wall of thorax;	S60.569D Insect bite of unspecified hand;
	encounter		Initial encounter		Subsequent encounter
S70.10D	Contusion, unspecified thigh;	S20.461D Insect bite of right back wall of thorax;		S60.869A	Insect bite of unspecified wrist; Initial
	Subsequent encounter		Subsequent encounter		encounter
S80.00A	Contusion, unspecified knee; Initial	S20.462A	Insect bite of left back wall of thorax;	S60.869D Insect bite of unspecified wrist;
	encounter		Initial encounter		Subsequent encounter
S80.00D	Contusion, unspecified knee;	S20.462D Insect bite of left back wall of thorax;		S70.269A	Insect bite, unspecified hip; Initial
	Subsequent encounter		Subsequent encounter		encounter
S90.11A	Contusion, unspecified great toe;	S20.469A	Insect bite of unspecified back wall of	S70.269D Insect bite, unspecified hip;
	Initial encounter		thorax; Initial encounter		Subsequent encounter
S90.11D	Contusion, unspecified great toe;	S20.469D Insect bite of unspecified back wall of		S70.369A	Insect bite, unspecified thigh; Initial
	Subsequent encounter		thorax; Subsequent encounter		encounter
S90.129A	Contusion, unspecified lesser toe(s);	S20.96A	Insect bite of unspecified parts of	S70.369D Insect bite, unspecified thigh;
	Initial encounter		thorax; Initial encounter		Subsequent encounter
S90.129D Contusion, unspecified lesser toe(s);		S20.96D	Insect bite of unspecified parts of	S80.269A	Insect bite, unspecified knee; Initial
	Subsequent encounter		thorax; Subsequent encounter		encounter
S90.00A	Contusion, unspecified ankle; Initial	S30.860A	Insect bite of lower back and pelvis;	S80.269D Insect bite, unspecified knee;
	encounter		Initial encounter		Subsequent encounter
S90.00D	Contusion, unspecified ankle;	S30.860D Insect bite of lower back and pelvis;		S90.463A	Insect bite, unspecified great toe;
	Subsequent encounter		Subsequent encounter		Initial encounter
S00.06A	Insect bite of scalp; Initial encounter	S30.861A	Insect bite of abdominal wall; Initial	S90.463D Insect bite, unspecified great toe;
S00.06D	Insect bite of scalp; Subsequent		encounter		Subsequent encounter
	encounter	S30.861D Insect bite of abdominal wall;		S90.466A	Insect bite, unspecified lesser toe(s);
S00.269A	Insect bite of unspecified eyelid and		Subsequent encounter		Initial encounter
	periocular area; Initial encounter	S30.862A	Insect bite of penis; Initial encounter	S90.466D Insect bite, unspecified lesser toe(s);
S00.269D Insect bite of unspecified eyelid and		S30.862D Insect bite of penis; Subsequent			Subsequent encounter
	periocular area; Subsequent		encounter	S90.569A	Insect bite, unspecified ankle; Initial
	encounter	S30.863A Insect bite of scrotum and testes;			encounter
S00.36A	Insect bite of nose; Initial encounter		Initial encounter	S90.569D Insect bite, unspecified ankle;
S00.36D	Insect bite of nose; Subsequent	S30.863D Insect bite of scrotum and testes;			Subsequent encounter
	encounter		Subsequent encounter	S90.869A	Insect bite, unspecified foot; Initial
S00.469A	Insect bite of unspecified ear; Initial	S30.864A	Insect bite of vagina and vulva; Initial		encounter
	encounter		encounter	S90.869D Insect bite, unspecified foot;
S00.469D Insect bite of unspecified ear;		S30.864D Insect bite of vagina and vulva;			Subsequent encounter
	Subsequent encounter		Subsequent encounter	S71.009A Unspecified open wound, unspecified
S00.561A	Insect bite of lip; Initial encounter	S30.865A	Insect bite of unspecified external		hip; Initial encounter
S00.561D Insect bite of lip; Subsequent			genital organs, male; Initial encounter	S71.009D Unspecified open wound, unspecified
	encounter	S30.865D Insect bite of unspecified external			hip; Subsequent encounter
S00.562A	Insect bite of oral cavity; Initial		genital organs, male; Subsequent	S71.109A	Unspecified open wound, unspecified
	encounter		encounter		thigh; Initial encounter
S00.562D Insect bite of oral cavity; Subsequent		S30.866A	Insect bite of unspecified external	S71.109D Unspecified open wound, unspecified
	encounter		genital organs, female; Initial		thigh; Subsequent encounter
S10.16A	Insect bite of throat; Initial encounter		encounter	S41.009A	Unspecified open wound of
S10.16D	Insect bite of throat; Subsequent	S30.866D Insect bite of unspecified external			unspecified shoulder; Initial encounter
	encounter		genital organs, female; Subsequent	S41.009D Unspecified open wound of
S10.86A	Insect bite of other part of neck; Initial		encounter		unspecified shoulder; Subsequent
	encounter	S30.867A	Insect bite of anus; Initial encounter		encounter
S10.86S	Insect bite of other part of necks;	S30.867D Insect bite of anus; Subsequent		S41.109A Unspecified open wound of
	subsequent encounter		encounter		unspecified upper arm; Initial
S10.96A	Insect bite of unspecified part of neck;	S40.269A	Insect bite of unspecified shoulder;		encounter
	Initial encounter		Initial encounter

S41.109D Unspecified open wound of unspecified upper arm; Subsequent encounter

S51.009A Unspecified open wound of unspecified elbow; Initial encounter

S51.009D Unspecified open wound of unspecified elbow; Subsequent encounter

S51.809A Unspecified open wound of unspecified forearm; Initial encounter

S51.809D Unspecified open wound of unspecified forearm; Subsequent encounter

Supplemental Classification

Z30.011 Encounter for initial prescription of contraceptive pills

Z30.013 Encounter for initial prescription of

injectable contraceptive

Z30.018 Encounter for initial prescription of other contraceptives

Z30.019 Encounter for initial prescription of contraceptives, unspecified

Z48.01 Encounter for change or removal of

surgical wound dressing

Z20.9 Contact with and exposure to unspecified communicable disease

Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings

Z01.419 Encounter for gynecological examination (general) (routine) without abnormal findings

Z01.42 Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear

Z23 Encounter for immunization

Z30.2 Encounter for sterilization

Z00.00 Encounter for general adult medical examination without abnormal findings

Z00.01 Encounter for general adult medical examination with abnormal findings

Z00.10 Encounter for routine child health examination without abnormal findings

Z00.11 Encounter for routine child health examination with abnormal findings

How to Edit Family Practice Superbill Online for Free

Filling out the family practice template form is easy with our PDF editor. Keep up with these particular steps to prepare the document instantly.

Step 1: Select the button "Get Form Here".

Step 2: At the moment you are on the document editing page. You can modify and add content to the file, highlight specified content, cross or check specific words, insert images, insert a signature on it, get rid of unrequired areas, or take them out completely.

The following parts are inside the PDF file you'll be filling out.

stage 1 to writing superbill template printable

Complete the space with all the data requested by the system.

Step 3: As soon as you are done, click the "Done" button to transfer the PDF form.

Step 4: Be certain to avoid possible future complications by making at least two duplicates of the form.

Family Practice Superbill – Fill Out and Use This PDF

Family Practice Superbill PDF Details

Form Preview Example

How to Edit Family Practice Superbill Online for Free

Watch Family Practice Superbill Video Instruction

Family Practice Superbill isn’t the one you’re looking for?

Please rate Family Practice Superbill

Family Practice Superbill – Fill Out and Use This PDF

Family Practice Superbill PDF Details

Form Preview Example

How to Edit Family Practice Superbill Online for Free

Watch Family Practice Superbill Video Instruction

Family Practice Superbill isn’t the one you’re looking for?

Related Documents

Please rate Family Practice Superbill

Related Resources