Here's a difficult one; I work for a financing co and we paid a doctor for numerous charges billed using the CPT code 99080 -"Special Reports such as insurance forms more than the information coveyed in the usual medical communications or standard reporting form." All of the patiens are workers compensation so it didn't appear to be that unusual until I noticed this charge was billed along with every office visit. When I spoke with the person who's responsible for the billing at the doctors office, I asked her what special forms they were completing or what justification she had for billing this charge. She indicated they used this code because they had to pay for the notes from the office visit to be transcribed by a dictation service. I do not think this is appropriate at all, but this woman has stated the insurance company will pay for some of these. If the insurance company does issue payment, it is only because they are not aware of what they are using this code for. I am not sure how to proceed with this, as I do not feel this is correct. From my understanding CPT code 99080 should be used in situations such as completing adoption forms, disability paperwork or an employment physical not to cover things that are an office expense. Any suggestions or feedback?
Thank you!