Get Superbill For Plastic Surgery

This guide provides you with clear and detailed instructions on how to complete the Superbill for plastic surgery online. By following these steps, you will ensure accurate documentation necessary for the estimation of costs for elective cosmetic procedures.

Follow the steps to complete the Superbill for plastic surgery.

1. Press the ‘Get Form’ button to obtain the Superbill and open it in your chosen editor.
2. In the header section, enter the name of the Military Treatment Facility (MTF) where the procedure will occur.
3. Provide your full name and office phone number in the designated fields.
4. For the first ICD-9-CM code, select a diagnosis from the V50.X series relevant to elective cosmetic procedures.
5. If applicable, enter a second ICD-9-CM code in the designated area.
6. Choose the procedure location from the options provided: Provider’s Office, Operating Room—Outpatient, or Operating Room—Inpatient.
7. Enter the patient's full name in the corresponding field.
8. Fill in the consultation visit date and the surgery date using the format MM/DD/YYYY.
9. Select the relevant anesthesia option for the procedure from the available choices.
10. Indicate whether the elective cosmetic procedure will be performed together with a medically necessary procedure.
11. In the procedure description section, circle or highlight the procedure(s) that will be performed.
12. Enter the applicable AMA CPT® code for the selected procedure(s). If a procedure lacks a CPT® code, use the TMA UBO Y-codes.
13. Specify if the procedure will be performed bilaterally by marking the appropriate box.
14. Indicate the quantity of each procedure or the number of sessions required in the provided space.
15. If administering injections or other pharmaceuticals, specify the name and quantity needed.
16. Review all entered information for accuracy. Save the document and take the time to download or print the completed Superbill for submission.

Complete your electronic documents online for efficient processing.