AAP Sample Superbill with ICD-10 Codes

F43.20 Adjustment disorder, unspec F10.10 Alcohol abuse, uncomplicated F10.20 Alcohol dependence, uncomplicated J30.-Allergic rhinitis d/t: pollen (hay fever); 1 2 other (seasonal); 5 food; 9 unspec J30.8-Allergic rhinitis d/t: 1 animal (cat/dog); 9 other N91.-Amenorrhea: 0 primary; 1 secondary; 2 unspec D50.9 Anemia, iron deficiency, unspec ................
................