COVID-19 CPT Codes
The American Medical Association (AMA) has released two new CPT codes directly related to the current public health emergency of COVID-19. New CPT code 86413 was established to report quantitative antibody detection for SARS-CoV-2 and CPT code 99072 was established to report significant additional practice expenses incurred to safely provide care to patients during a public health emergency, including supplies and additional clinical staff time. Both codes are now in effect and may be billed, however, payers may not be quite prepared to reimburse CPT 99072.
The GLMS Practice Support Department is reaching out to payers to find out if providers can expect payment when billing 99072. The responses received thus far from payers is that they will follow internal processes and notify providers when this code can be billed. We will continue to monitor this and notify GLMS members as new information is received. The chart below gives a description of these new codes. Additional information, including clinical scenarios may be found here.
Special Services, Procedures and Reports
CPT 86413 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative
CPT 99072 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
