MAG calls for CMS, others to pay for CPT code 99072

The Medical Association of Georgia is one of numerous physicians’ advocacy organizations that signed letters urging the Centers for Medicare & Medicaid Services, America’s Health Insurance Plans, Blue Cross Blue Shield Association, and the major commercial health plans (i.e., Anthem, Aetna, Cigna, Health Care Service Corporation, Humana and UnitedHealthcare) to “immediately implement and pay for CPT code 99072 [with no patient cost-sharing during the pandemic] to help address the significant fiscal pressures placed on physicians by COVID-19.”

The American Medical Association explains that, “Last month, the CPT Editorial Panel approved CPT code 99072 to be used to report the additional supplies, materials, and clinical staff time over and above the practice expense(s) 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.”

Letter to CMS letter (also sent to other payers)