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Billing for medical records review

  1. #1
    Location
    Tulsa, Oklahoma 91802
    Posts
    14
    Default Billing for medical records review
    Medical Coding Books
    My physician wants me to bill for 30 minutes of medical records review. Metlife said they would pay him to do so.

    What would be the appropriate CPT code to bill for this service?

    Thank you.

    Angela Chapman, CPC

  2. #2
    Default
    If he is reviewing the records and providing them with a report, I'd use CPT 99080 for the services.
    Sherry Miller, MBA/HCM, CPC, CEMC
    Epic Management, LP

  3. #3
    Location
    Tulsa, Oklahoma 91802
    Posts
    14
    Default
    Thank you Sherry! I appreciate your help.

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    for 30 minutes of record review it would be 99358 filling out forms is 99080

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Location
    Tulsa, Oklahoma 91802
    Posts
    14
    Default
    Quote Originally Posted by mitchellde View Post
    for 30 minutes of record review it would be 99358 filling out forms is 99080
    Is there a V code for reviewing medical records?
    Angela Mehl, CPC

  6. #6
    Location
    Milwaukee WI
    Posts
    4,466
    Default Invoice MetLife directly
    I wouldn't code this with 99358, as there is no indication this is directly related to any E/M service.

    I would simply invoice the requesting entity (in this case MetLife, but frequently it's an attorney's office) for the physician's time and report.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  7. #7
    Location
    Tulsa, Oklahoma 91802
    Posts
    14
    Default ICD-9 Code for reviewing medical records
    What is the appropriate V code, if any, to use in conjunction with the CPT code for 1 hour of reviewing medical records?
    Angela Mehl, CPC

  8. #8
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by AngelaChapman View Post
    What is the appropriate V code, if any, to use in conjunction with the CPT code for 1 hour of reviewing medical records?
    The V codes are for indicating a patient or someone related to the patient encountered services with a physician. You just make up a dummy code if you must have a dx code to bill out for the record review. We used to use 000.0 Misc for situations like this.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  9. #9
    Location
    Louisville, KY
    Posts
    1,101
    Default
    I would use V68.89, as this is housed with v-codes for expert testimony, issue of repeat prescriptions, issuance of medical certificates, etc. This should also be something that is already "built" into your PM system and/or EHR.

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