CPT^® 99072, Under Miscellaneous Medicine Services

The Current Procedural Terminology (CPT^®) code 99072 as maintained by American Medical Association, is a medical procedural code under the range - Miscellaneous Medicine Services.

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Summary

The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items and time must support a safe in–person visit by reducing the chance of transmitting a respiratory–transmitted infectious disease that has caused a Public Health Emergency.

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Covid billing - CS modifier

My manager took a call from a UPMC rep stating that a CS modifier is needed when a visit is related to covid visit/testing. This is needed to alert them it is covid related, therefore no patient respo... [ Read More ]

99072

I am in Washington State. Has anyone been paid for using 99072 and does this need a different dx code than the visit CPT codes? I have been denied by Regence saying it's bundled with the primary offi... [ Read More ]

99072

I am in WA state and apparently a law was passed saying that all payers, except federal (Medicare for example) are to pay this code. The reimbursement is $6.57. Is anyone getting reimbursed for this c... [ Read More ]

Telemedicine / COVID swab

AMA provided advice on this - specifically Scenario 3. [URL]https://www.ama-assn.org/system/files/2020-05/covid-19-coding-advice.pdf[/URL] While I may not agree, their guidance is to bill both: 1) Te... [ Read More ]

Covid Testing Supplies Code 99072

There have been a couple of other threads with this same question/topic. Summary: Medicare never pays under any circumstances. Commercial carriers will never/rarely ever pay. I'm not aware of any maj... [ Read More ]

Covid Testing Supplies Code 99072

Has anyone had any luck billing the CPT 99072? I have a payer denying stating "SERVICE OR SERVICE/MODIFIER COMBO NOT FOUND ON FEE SCHEDULE". I am not using a modifier, does anyone have any suggestio... [ Read More ]

99072 reimbursement? coding advice needed reimbursement

Anyone have luck yet with 99072 reimbursement? Medicare is still not paying, correct? Any luck with other payers? Thank you! Pam... [ Read More ]

99072 Denials

For us, it gets automatically appended to any qualified in-person service based on the corporate decision to do so. I think I have seen 1 claim ever pay 99072.... [ Read More ]

99072 Denials

I have been getting repetitive denials on this CPT 99072, is it across the board that they will not cover? I am getting the denial indicating not valid at this Time of service. for example 5.21.21... [ Read More ]

help with CPT code 99072 Please

Another department actually posts payments, and the instructions are to adjust off if denied with no further input needed from the practice. Whenever I am in an account, I have looked to see if previ... [ Read More ]

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