Additional Paperwork on Worker’s Compensation Cases

Physicians’ Current Procedural Terminology (CPT) code 99080 should be used to file special reports such as insurance forms or in cases where there is more information than conveyed in the usual medical communications or standard reporting form.

CPT code 99080 is payable once per case (per individual patient injury) when billed related to Worker’s Compensation claims. This code is only covered by contracts with the 24-Hour Coverage plan and the WRI prefix. CPT code 99080 is not listed on the Preferred Medical Doctor (PMD) fee schedule and will therefore be paid based on the Worker’s Compensation State-mandated Fee Schedule.

Last Updated January 2010