This is an Encounter

sheet or also known as

a superbill
• Experts in Medical
Billing and Coding
* Each header is in bold
text and filled in grey
For every service they do
each one has:
• CPT number spot
• Description spot
• Dx# spot
• Fee spot
Outpatient services and Preventive
Medicine Services
*CPT *MOD *Visit Type *Dx#
*Fee

In-House Lab Tests and Other Services

*CPT *Description *Dx# *Fee

VFC Immunization Supplies it is a little

different
*ICD# *Description *CPT
• You read from left to
right so everything on
that line goes together

• Thick black line down

center shows where
the one on the right
ends and a new one
starts on the other side
* Crap is used in a lot of
documents and this
superbill easily
demonstrates contrast,
repetition, alignment, and
proximity.