Current Procedural Terminology Code 99072 Reporting:
Additional supplies, materials, and preparation time required and provided by the physician or other qualified health care professional and/or clinical staff over and above those usually included in an office visit or other service(s), when performed during a nationally declared public health emergency due to respiratory transmitted infectious disease.
When reporting 99072, report only once per in-person patient encounter per day, per provider identification number, regardless of the number of services rendered at that encounter. Code 99072 may be reported during a Covid-19 pandemic when the additional clinical staff duties as described are performed by the physician or other qualified health care professional in lieu of clinical staff.
Code 99072 is designed to capture the following practice expense factors:
- Time over what is included in the primary service of clinical staff time to conduct a pre-visit phone call to screen the patient (symptom check), provide instructions on social distancing during the visit, check patients for symptoms upon arrival, apply and remove personal protective equipment, and additional cleaning of the examination/procedure/imaging rooms, equipment and supplies
- Three surgical masks
- Additional cleaning supplies (e.g., hand sanitizers, disinfectant wipes)
Per the standard early release delivery process for CPT codes, note that the code descriptor will need to be manually uploaded into electronic health record systems. In addition to the long descriptor, codes 86413 and 99072 have short and medium descriptors that can be accessed on the AMA website.
Please note that, according to the standard early release delivery process for CPT codes, you will need to manually upload these code descriptors into your EHR system. Most of these CPT codes will arrive as part of the complete CPT code set in the data file for 2021 later this year.
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