On September 8, 2020, the American Medical Association (AMA) announced two new Category I CPT® codes to meet the needs brought from COVID-19 and the public health emergency. The codes were approved by the CPT® Editorial Panel for immediate use throughout the public health emergency. The public health emergency, unless extended, for COVID-19 expires on October 25, 2020.

99072Additional 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

99072 encompasses the additional supplies, materials, and clinical staff time required to support safe in-person interactions between patients and healthcare professionals during the current emergency.

Some additional coding guidelines for 99072 are:

  • You do not need to link the code to a particular diagnosis code.
  • You may report 99072 with an E/M service or procedure even if it is not related to the public health emergency.
  • You may report 99072 only once per in-person patient encounter per Provider Identification Number.
  • The time counted in any other time-based visit or service during the same encounter cannot be counted twice to report 99072.
86413Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody, quantitative

CPT® code 86413 was approved in response to the development of laboratory tests that provide quantitative antibody measurements. By measuring antibodies to the virus, the tests reported by 86413 can investigate a person’s adaptive immune response to COVID-19.

Your practice will need to manually upload the code descriptors in your electronic health record (EHR) system if you have not already. These codes will likely as well be included in the 2021 CPT® updates, but due to the current changing times of healthcare, it is important to stay on top of new codes and changes as they are released.