On September 8, 2020 the American Medical Association (AMA) published an update to the Current Procedural Terminology (CPT) code set that includes two new code additions for reporting medical services required by the public health response to the COVID-19 pandemic. The two additions have been approved for immediate use.
The first addition, which will be most useful to AANEM members, is CPT code 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
. This code was approved in response to measures that needed to be adopted by medical practices to help prevent the spread of the coronavirus, while safely providing patients with care. AANEM worked with the AMA/Specialty Society RVS Update Committee (RUC) and the CPT Editorial Panel over the summer to aid in the development of this code.
The second addition, CPT code 86413 allows for the quantitative measurements of SARS-CoV-2 antibodies, as opposed to a qualitative (positive/negative) assessment. The tests reported using this code can aid in investigating a person’s adaptive immune response to the virus.
AANEM continues to work with both the RUC and CPT to aid in the development and reimbursement of codes that impact our membership. If you have any questions or concerns about how these new additions to the CPT codes set will be used, you can email the policy department at firstname.lastname@example.org