Wiki Billing new code 99072

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I am not sure about time spent documentation, but I did find this :
Documentation requirements for 99072 will vary among insurers, so be sure to check with your top payers for their specific policy. One thing that’s certain: Your documentation must include information that supports the requirements for 99072. Include a statement that notes “Due to COVID-19 …” and then document what steps you took or supplies you used.

kathleeng

Networker
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Fresno, CA
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Does anyone know whether 99072 requires the dictation to include the actual minutes spent for going over the required information? I know everything keeps saying that it's used to cover the time spent and cannot be used with any other time-based services, however it's not clear whether the time spent is actually required to be noted in the dictation. Also, has anyone tried billing this yet and/or had payment/denials for it? Any feedback is appreciated.
 

Billing2

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Hi, I just happened to be reading CPT Assistant Special Edition - September Update from AMA. It stated that "Documentation requirements may vary among third-party payers and insurers; therefore, they should be contacted to determine their specifications".
It sure doesn't help us a lot :unsure: My take is that no time requirement.
Hope this helps.
 

mankwan

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I received reimbursement from Aetna for 99072 of $7.50. Let see if it sticks.
I billed 99072 to Aetna, BC and Medicare, but all claims has been denied, please advice me. Thank you.
-- Patient cames in for office visit, I billed E/M, and 99072, both CPT code have same Dx.
 

robinjpm

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Peoria, AZ
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I billed 99072 to Aetna, BC and Medicare, but all claims has been denied, please advice me. Thank you.
-- Patient cames in for office visit, I billed E/M, and 99072, both CPT code have same Dx.
We use the dx U07.1 (COVID-19). We have only been reimbursed by Tricare, Aetna Medicare platinum plan, one Cigna Medicare plan, & BCBS TX. Hope this helps.
 
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