Duplicate/Copy of Patient Records (D9961) — National Rates

About D9961 — Duplicate/Copy of Patient Records

D9961 pertains to the duplication or copying of patient records. This service is often requested by patients or other healthcare providers for continuity of care or legal purposes. Clinical indications include requests for records related to treatment history, referrals, or insurance claims. When billing for this service, documentation should include the patient’s request, the type of records provided, and any associated fees. The average reimbursement for this service is around $70, but it can vary by payor and state regulations, with some insurance companies not covering record duplication costs.

Reimbursement rates for D9961 vary significantly by state, payor, and provider network. The national average negotiated rate is $70. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.