Forum - Questions & Answers

Sep 22nd, 2015 - cmgmr 4 

CPT® 99080 clarification

Does anyone have updated information regarding the use of CPT® 99080 to submit additional diagnoses? I know that using this code enables a provider to submit additional claim lines with a zero charge in order to accommodate the need to send additional diagnosis codes.

If a patient is seen in the office for let's say, HTN & DM follow-up, but has multiple medical problems which are not addressed at this visit. Is it appropriate to submit the E&M code using these 2 diagnosis and then on a separate line list the additional diagnosis codes using 99080? (for reporting purpose only)

There is a little confusion in our setting. Out Biller is stating that we can only use the 99080 if there are OVER 12 diagnosis codes.

I am under the impression that this code can be used in the following manner : Patient has a total of 6 medical conditions/diagnosis and is seen for 99214 using 4 of the diagnosis, the remaining two would be sent on separate line using 99080 for reporting purpose only as they were not addressed at the office visit.

Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association