First the patient fills out the patient information sheet and you use that the fill out the top half of the form with the patients information. Second you have to report all the diagnosis codes that are relevant to the patients care on the date of the service under the Diagnosis or nature of illness or injury section. Third you have to report the cpt codes for the E/M services and product codes under the procedures, services, or supplies section. Fourth you add any appropriate modifiers. Fifth you link the ICD-10 and cpt codes under the diagnosis pointer or diagnosis code section. Sixth you sign and submit the claim form to the insurance
