Required fields are indicated in red.
Code: Enter the ICD code (numbers and/or letters).
Code Type: Select the type of diagnosis code (ICD-10 or ICD-9).
Effective Date: Effective code date for reporting and tracking purposes only.
Termination Date: Termination code date for reporting and tracking purposes only.
Superbill: Configure Superbill options (Enable code to print on superbill and enter code description that will reflect on the superbill).