AI Superbill Generation: How ChiroScribe Extracts CPT and ICD-10 Codes from Your SOAP Notes

The Billing Bottleneck

You've streamlined your documentation. You dictate the visit, AI writes the SOAP note in about two minutes on average, and the treatment plan updates automatically. ChiroScribe's published benchmark is 126 seconds average note time across 2,147 SOAP notes. But then you hit the billing step — manually scanning through documentation to select CPT procedure codes and ICD-10 diagnoses for the superbill. For most chiropractors, this takes 2-5 minutes per patient. At 30 visits a day, that's 60 to 150 minutes spent on code selection alone.

ChiroScribe now closes that gap. AI reads your SOAP note and generates a superbill automatically.

What Is a Superbill?

A superbill is the encounter form your practice submits to insurance companies or gives to patients for reimbursement. It contains the date of service, the CPT procedure codes for what you did, the ICD-10 diagnosis codes for why you did it, and any applicable modifiers. It's the bridge between clinical documentation and billing.

How ChiroScribe Generates Superbills

The workflow is simple and fully automatic:

You record the visit. Voice recording on iPhone, Apple Watch, or browser.

AI generates the SOAP note. Subjective, objective, assessment, and plan — structured and chiropractic-specific.

AI reads the note. The system analyzes the generated documentation for billable procedures and diagnoses.

Superbill is generated. CPT codes, ICD-10 codes, and modifiers are extracted into a billing-ready superbill you can review, adjust, and export as a Word or DOCX file.

There is no separate step. The superbill appears alongside your SOAP note, ready for review.

Common Chiropractic Codes the AI Extracts

CPT Procedure Codes

98940 — Chiropractic manipulative treatment (CMT), 1-2 spinal regions
98941 — CMT, 3-4 spinal regions
98942 — CMT, 5 spinal regions
97140 — Manual therapy techniques (myofascial release, mobilization)
97110 — Therapeutic exercises
97112 — Neuromuscular re-education
97014 — Electrical stimulation (unattended)
99213 — Office visit, established patient, low-moderate complexity
99214 — Office visit, established patient, moderate-high complexity

ICD-10 Diagnosis Codes

M54.2 — Cervicalgia (neck pain)
M54.5 — Low back pain
M54.6 — Pain in thoracic spine
M99.01 — Segmental dysfunction, cervical region
M99.03 — Segmental dysfunction, lumbar region
S13.4 — Sprain of cervical spine ligaments
S33.5 — Sprain of lumbar spine ligaments

Smart Modifiers

The AI also applies relevant modifiers based on context:

-AT — Active treatment (required for Medicare chiropractic claims)
-25 — Significant, separately identifiable E/M service
-59 — Distinct procedural service (used to unbundle procedures when appropriate)

Manual Coding vs. AI Superbill Generation

Manual	AI-Generated
Time per visit	2-5 minutes	Draft appears with the note
30 visits/day	60-150 minutes	Review only
Code accuracy	Depends on memory	Based on documentation
Missed codes	Common under time pressure	AI catches what you documented
Modifier application	Often forgotten	Applied automatically

At 30 visits per day, the time savings add up to 5-12.5 hours per week. That's a full afternoon of patient care recovered every week.

Always Review Before Submitting

AI suggests codes based on what's documented in the SOAP note. It does not make clinical judgment calls. The treating provider must always review the generated superbill before submission. If you performed a procedure that wasn't captured in dictation, add it. If the AI selected a code that doesn't apply, remove it.

Think of the AI superbill as a highly accurate first draft — not a final submission. The provider is always the last checkpoint.

Frequently Asked Questions

What is a superbill in chiropractic?

A superbill is a billing document that lists the CPT procedure codes and ICD-10 diagnosis codes for a specific patient visit. Chiropractors use superbills to submit claims to insurance companies or provide patients with documentation for out-of-network reimbursement. Common chiropractic CPT codes include 98940-98942 for chiropractic manipulative treatment (CMT) and 97140 for manual therapy.

Can AI generate superbills automatically?

Yes. ChiroScribe automatically extracts CPT and ICD-10 codes from AI-generated SOAP notes after each visit. The system reads the documented services, regions treated, and clinical findings to suggest appropriate billing codes with modifiers. Providers review and edit the codes before downloading a Word or DOCX superbill. This eliminates manual coding lookup and reduces billing errors.

What CPT codes do chiropractors use most?

The most common chiropractic CPT codes are: 98940 (CMT 1-2 spinal regions), 98941 (CMT 3-4 spinal regions), 98942 (CMT 5 spinal regions), 97140 (manual therapy), 97110 (therapeutic exercises), 97112 (neuromuscular re-education), and 97010-97014 (physical therapy modalities like electrical stimulation or ultrasound). The appropriate code depends on the number of spinal regions treated and services rendered.

How much does a chiropractic superbill software cost?

Standalone billing and superbill tools typically cost $30-$100/month. ChiroScribe includes AI superbill generation in all plans starting at $179/month, bundled with AI SOAP notes, treatment plans, X-ray analysis, and online scheduling. Since the superbill is generated directly from the SOAP note, there's no separate coding step required.

Get Started

AI superbill generation is available now in ChiroScribe. After your next AI-generated SOAP note, check the superbill tab to see the extracted codes. Adjust as needed and export the billing-ready Word or DOCX file.

New to ChiroScribe? Start your free trial to see AI documentation and superbill generation working together, or visit the superbill feature page for more details.