AMA CPT® Assistant - 2009 Issue 10 (October)
General (October 2009)
October 2009 page 12b General: Medical Records (Q&A) Question: What is the appropriate code to report when billing an insurance company or attorney for copies of medical records? Answer: CPT does not contain an administrative code for providing copies of medical records. However, under the Health Insurance Portability and Accountability Act (HIPAA), a covered entity can only charge reasonable cost-based fees for providing medical records to patients. General: Medical Records (Q&A). CPT® Assistant. 2009; October 2009 page 12b ...
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Article Overview
This brief October 2009 CPT Assistant article addresses a medical-records billing question and explains the general policy context for requesting copies of records from a covered entity. It is useful for coders, billing staff, compliance teams, and practices that handle record-release requests and want to understand the administrative and regulatory framing discussed in the source.
Why This Topic Matters
Requests for copies of medical records often raise billing and compliance questions. This article helps readers understand the high-level coding and privacy context surrounding those transactions.
What You Will Learn
- The general billing context for medical-record copy requests
- How the article frames the absence of a CPT administrative code for this situation
- The broader compliance context referenced in connection with HIPAA and covered entities
- Why this question is relevant for office, billing, and records-management workflows
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practices
- Health information management staff
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