CPT Codes to Capture Costs of PPE and Report New Antibody Testing Services Released

In response to the COVID-19 pandemic, on September 8, the American Medical Association (AMA) released two new Category I Current Procedural Terminology (CPT®) codes effective immediately.

  • Code 99072 captures the additional costs of supplies and staff that are necessary to meet COVID-19-related safety protocols and are incurred by practice providing face-to-face medical services. This code is to be reported in conjunction with codes for office-based services.
  • Code 86413 describes the recently developed antibody tests that provide quantitative measurements of SARS-CoV-2 antibodies, as opposed to a qualitative assessment (positive/negative) of SAR-CoV-2 antibodies provided by laboratory tests reported by other CPT codes.

Additional guidance on report the codes is available here.

Stay up-to-date on COVID-19 emerging issues through the McDermottPlus Coronavirus Resource Center or the McDermott, Will & Emery Coronavirus Resource Center.

 


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at 202-204-1459/smadhani@mcdermottplus.com, Mara McDermott at 202-204-1462/mmcdermott@mcdermottplus.com or Rachel Stauffer at 202-204-1460/rstauffer@mcdermottplus.com.