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    v1.0.28
    OpenPayerBilling CodesMiscellaneous Medicine ServicesCPT cpt-99072-infection-prevention-supplies-nonfacility-visit
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    CPT 99072: Infection-Prevention Supplies and Extra Clinical Staff Time

    CPT code 99072 describes additional items, supplies, materials, or extra clinical staff time used beyond what is typically provided for an office visit or other nonfacility encounter to support a safe in‑person visit by reducing the risk of transmitting a respiratory‑transmitted infectious disease during a Public Health Emergency; service type: ancillary infection‑prevention services, typical site of service: office or other nonfacility outpatient setting, and billing is reported to document the incremental resources required to implement enhanced infection control measures for an in‑person encounter.

    For related coverage guidance, see recent payer policy updates: Home Health, Skilled, and Custodial Care Services (for Idaho Only), Private Duty Nursing Services, Private Duty Nursing Services (for Florida Only).

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A patient arrives for an in‑person nonfacility office visit during a Public Health Emergency caused by a respiratory‑transmitted infectious disease. The visit is scheduled with a primary care physician to evaluate worsening cough, fever, and dyspnea. Clinic staff perform pre‑arrival screening calls, arrange a separate entrance and waiting area, don enhanced personal protective equipment (PPE) including N95 respirators, gowns, gloves, and eye protection, and apply additional room cleaning and air‑exchange protocols between patients. The provider and clinical staff spend extra time escorting the patient directly to an exam room, completing additional infection control documentation, and managing disposal of biohazardous PPE and supplies used specifically to reduce transmission risk. Supplies consumed beyond a typical visit include single‑use masks for the patient, N95 respirators for staff, disposable gowns, additional cleaning agents, and dedicated disinfectant wipes. The clinical workflow includes triage, isolation of the symptomatic patient, focused evaluation and necessary testing (e.g., point‑of‑care respiratory testing billed separately), counseling, and safe discharge instructions. Billing uses 99072 to reflect added materials, supplies, or clinical staff time required to maintain a safe, in‑person visit under Public Health Emergency conditions.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    99213Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutesCommon primary E/M code for an office visit where 99072 may be appended to account for extra infection‑control supplies/time.
    99203Office or other outpatient visit for the evaluation and management of a new patient, typically 30 minutesUsed for new patient visits requiring enhanced PPE and clinic processes; 99072 documents additional material/staff costs.
    87804Infectious agent antigen detection by immunoassay, e.g., rapid influenza diagnostic testPoint‑of‑care respiratory testing often performed during the same encounter; testing billed separately while 99072 covers infection‑control supplies/time.
    87070Culture, bacterial, any other source except urine, aerobic, with isolation and presumptive identificationDiagnostic testing that can be performed in the visit workflow; 99072 remains separate for added infection‑control resources.
    99070Supplies and materials (except spectacles), non‑covered items used during a procedureUsed for non‑routine supplies not included elsewhere; 99072 specifically addresses excess supplies/time related to respiratory infection control.

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
    56Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
    59Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
    92Modifier 92 (Alternative Laboratory Platform Testing) is used when laboratory tests are performed with single‑use, disposable, portable kits or transportable instruments. The AMA defines it for tests…- Use modifier 92 when a laboratory test is performed using a single‑use, disposable analytical device or kit (an alternative laboratory platform) that is portable and may be taken to or near the…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    207Q00000XFamily Medicine PhysicianFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
    207R00000XInternal Medicine PhysicianA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults…
    208D00000XGeneral Practice PhysicianA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    363L00000XNurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision mak…
    363A00000XPhysician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
    225400000XRehabilitation PractitionerA health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
    363LP0222XCritical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers · Nurse Practitioner
    209800000XLegal Medicine (M.D./D.O.) PhysicianLegal Medicine is a special field of medicine that focuses on various aspects of medicine and law. Historically, the practice of legal medicine made c…

    Related ICD-10-CM Codes

    28 rows

    ICD-10-CM CodeDescription
    A49.9Bacterial infection, unspecified
    B97.29Other coronavirus as the cause of diseases classified elsewhere
    E11.9Type 2 diabetes mellitus without complications
    F41.9Anxiety disorder, unspecified
    I10Essential (primary) hypertension
    J02.9Acute pharyngitis, unspecified
    J06.9Acute upper respiratory infection, unspecified
    J10.1Influenza due to other identified influenza virus with other respiratory manifestations
    J11.1Influenza due to unidentified influenza virus with other respiratory manifestations
    J12.9Viral pneumonia, unspecified

    Showing 1–10 of 28

    Related Payer Policy Updates

    Specialty: Home Health & Hospice1 / 3

    10 rows

    PolicyPayerEffective Date
    Home Health, Skilled, and Custodial Care Services (for Idaho Only)UnitedHealthcare2026-08-01
    Private Duty Nursing ServicesColorado Rocky Mountain Health Plans2026-08-01
    Private Duty Nursing Services (for Florida Only)Colorado Rocky Mountain Health Plans2026-08-01
    Private Duty Nursing Services (for New Jersey Only)UnitedHealthcare2026-08-01
    Private Duty Nursing Services (for Kentucky Only)UnitedHealthcare2026-08-01
    Private Duty Nursing Services (for New Mexico Only)UnitedHealthcare2026-08-01
    Private Duty Nursing Services (for Kansas Only)UnitedHealthcare2026-08-01
    Private Duty Nursing ServicesColorado Rocky Mountain Health Plans2026-08-01
    Home Health, Skilled, and Custodial Care Services (for Ohio Only)UnitedHealthcare2026-08-01
    Home Health, Skilled, and Custodial Care ServicesColorado Rocky Mountain Health Plans2026-07-01

    Related Codes

    CPT-98984-REMOTE-THERAPEUTIC-MONITORING-RESPIRATORY-2-15-DAYS

    CPT 98984: Remote Therapeutic Monitoring, Respiratory Devices (2–15 days)

    CPT-98985-RTM-MUSCULOSKELETAL-DEVICE-SUPPLY-2-15-DAYS

    CPT 98985: Remote Therapeutic Monitoring Device Supply, Musculoskeletal

    CPT-98986-RTM-COGNITIVE-BEHAVIORAL-THERAPY-DEVICE-MONITORING

    CPT 98986: Remote Therapeutic Monitoring for Cognitive Behavioral Therapy

    CPT-99000-SPECIMEN-PREPARATION-AND-TRANSPORT-OFFICE

    CPT 99000: Specimen Preparation and Transport, Office

    CPT-99001-SPECIMEN-PREPARATION-OFF-SITE-COLLECTION-SEND-OUT-LAB

    CPT 99001: Specimen Preparation from Off‑site Collection

    CPT-99002-ORTHOTIC-PROSTHETIC-DEVICE-PROVISION-AND-FITTING

    CPT 99002: Orthotic/Prosthetic Device Provision and Fitting

    CPT-99024-POSTOPERATIVE-EM-SERVICE-DURING-GLOBAL-PERIOD

    CPT 99024: E/M Service During Postoperative Global Period

    CPT-99026-HOSPITAL-ON-CALL-AVAILABILITY-1-HOUR

    CPT 99026: Physician On-Call Availability, One Hour

    CPT-99027-ON-CALL-AVAILABILITY-HOSPITAL

    CPT 99027: On-call Availability from Outside Hospital, One Hour

    CPT-99050-AFTER-HOURS-OFFICE-SERVICE

    CPT 99050: After-Hours Office Visit

    Showing 1–10 of 21

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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