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The smarter superbill understands that your practice has specific requirements we have designed our superbill templates to reflect the most common cpt codes for your area of expertise along with well organized easy to use icd 10 codes that are most frequently used by your specialty. This sample superbill was converted to icd 10 cm by the american health information ma nagement association ahima solely as an exercise in demonstrating the process of transitioning to a new coding system it does not repres ent an endorsement by ahima of the use of superbills or this particular superbill format. Superbills also allow for the display of the patients diagnoses and procedures which are specific to their appointment given below is an example of a sample medical superbill template which could be used by healthcare providers to provide data regarding the patients treatment. Superbills encounter forms help you save time and capture all charges from your patient visits you can configure a custom superbill for each provider in your practice print superbills with prepopulated patient information from the appointment scheduler and use those superbills to document the charges for your patient visits. The only icd 10 superbill for chiropractors focus on your patient not your computer our well organized icd9 icd 10 mapped superbills make your patient encounters record keeping and billing process easy and accurate