99072 new code for PPE

wynonna

Guru
Messages
174
Location
Hinsdale, MA
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Has anyone heard of this code for additional PPE that can be billed with office visits?
Are insurance companies reimbursing for it?
Are there any additional CPT and/or ICD10 codes to bill during COVID for supplies?
What are the documentation requirements for billing 99072?
Thanks
 

dstruve

Networker
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61
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Spencer, IA
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It is going to be like the 99070, just because they made the code doesn't mean any of the carriers will pay for it. I have not heard anything from any of the carriers at this point, just my speculation.
 

mgortega23

Contributor
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14
Location
Plainview, TX
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Has anyone heard of this code for additional PPE that can be billed with office visits?
Are insurance companies reimbursing for it?
Are there any additional CPT and/or ICD10 codes to bill during COVID for supplies?
What are the documentation requirements for billing 99072?
Thanks
We started billing this code and we have not seen reimbursement and do not expect it but Providers that I work for insist on having it on each claim except for labs. Here is something you can read on about the code. https://www.texmed.org/Template.aspx?id=54686&terms=99072
 

mccoyheather

Contributor
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Read this article: https://www.aapc.com/blog/51794-ama-approves-2-new-cpt-codes-for-covid-19/
cite link from article: Transmittal 10373, CMS Pub 100-04 Medicare Claims Processing Transmittal 10373: States new AMA codes released 9/8/2020 will be:
"EFFECTIVE DATE: October 1, 2020 *Unless otherwise specified, the effective date is the date of service. IMPLEMENTATION DATE: October 5, 2020" hope this helps. Our office has denied claims for 99072, applicable to any face to face encounter during PHE from 03/01/2020 to 12/31/2020 thus far. We are holding claims until 10/5. Good luck!
 
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