What You Need to Know:
The very first
addition, CPT code 99072, was approved in reaction to sweeping steps embraced
by medical practices and health care organizations to stem the spread of the
novel coronavirus (SARS-CoV-2), while safely supplying clients with access to
premium care throughout in-person interactions with healthcare specialists.
The extra supplies and scientific personnel time to perform security protocols
described by code 99072 permit the provision of assessment, treatment or
procedural services throughout a public health emergency situation in a setting where additional
safety measures are required to guarantee the security of clients as well as healthcare
— The American Medical Association adds 2 new CPT codes
to improve the reporting of ingenious tools and services now available to
help in reducing the COVID-19 disease burden.
— The two brand-new codes 99072 and 86413 have actually been authorized for instant use.
AMA/Specialty Society RVS Update Committee (RUC) worked with 50 nationwide
medical specialized societies and other organizations over the summer to collect
information on the costs of preserving safe medical workplaces during the public health
emergency and submitted recommendations today to the Centers for Medicare and
Medicaid Services to notify payment of code 99072.
The upgrade to the CPT code set was authorized by the CPT
Editorial Panel, the independent body convened by the AMA with authority to
expedite the evaluation of proposed adjustments and additions to the CPT code
set. The two additions to the CPT code set have been approved for instant use.CPT Code 99072 Overview
The American Medical Association (AMA) released
an upgrade to the Current Procedural Terminology (CPT ®) code set that
consists of two code additions for reporting medical services stimulated by the
public health response to the COVID-19 pandemic.
CPT Code 86413 Overview
addition, CPT code 86413, was authorized in reaction to the development of
lab tests that supply quantitative measurements of SARS-CoV-2
antibodies, rather than a qualitative assessment (positive/negative) of
SAR-CoV-2 antibodies supplied by lab tests reported by other CPT codes.
By determining antibodies to SARS-CoV-2, the tests reported by 86413 can investigate
a persons adaptive immune action to the infection and assistance access the
efficiency of treatments utilized against the infection.
The 2 brand-new
Category I CPT codes and long descriptors are:
99072: Additional supplies, materials,
and clinical staff time over and above those normally included in a workplace
visit or other non-facility service( s), when performed during a Public Health
Emergency situation as defined by law, due to respiratory-transmitted contagious disease
86413: Severe severe breathing syndrome
coronavirus 2 (SARS-CoV-2) (Coronavirus illness [COVID-19] antibody,
Why It Matters
< " The CPT code set continues to rapidly adapt during the COVID-19 pandemic to simplify the reporting of innovative tools and services now offered to help in reducing the COVID-19 disease burden, enhance health results and decrease long-lasting care expenses," said AMA President Susan R. Bailey, M.D. "This upgrade is the most recent in a series of adjustments to the CPT codes set to meet the requirements of the health care market as medical developments expand the fight versus COVID-19."