Medicare: Medicare usage of CPT code 99072

Are you aware that AMA announced a new CPT code 99072 that came into effect from September 8, 2020? To know more about the new code, read along!

New CPT code 99072 was announced by AMA with effective date 09/08/2020. The full description of the new code is: Additional supplies, materials and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a Public Health Emergency as defined by law, due to respiratory-transmitted infectious disease.

CMS has made it official that CPT 99072 is a bundled service and will not be payable by Medicare. The service is bundled into any other services provided so you may not bill the beneficiary for it. Issuing an ABN is also not valid. These services are not separately payable by Medicare and the cost may not be transitioned to the beneficiary.Sourcehttps://www.ngsmedicare.com


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