Who is affected by this change?

This affects Healthfirst on Medicare Advantage, Medicaid plans.

What do I need to do?

Immediately: Billing team must stop submitting claims for CPT 99072 to Healthfirst. Update billing software to flag or remove this code for Healthfirst claims. Remove CPT 99072 from encounter forms for Healthfirst patients. Claims submitted with this code will not be reimbursed.

Which billing codes are affected?

The following codes are affected: 99072.

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HealthfirstMedicare Advantage · Billing Codes · CodingMedium impact

COVID-19 Coding Update for CPT 99072

Act

immediately

Effective date

Not stated in the notice

Identified

Jun 20, 2026

Summary

Healthfirst will no longer reimburse CPT code 99072 (additional supplies and clinical staff time for respiratory infectious disease during public health emergencies) effective immediately. This code is now considered bundled into other service payments and will not be separately reimbursed.

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What to do

immediately · 4 steps

01Billing team must stop submitting claims for CPT 99072 to Healthfirst.

02Update billing software to flag or remove this code for Healthfirst claims.

03Remove CPT 99072 from encounter forms for Healthfirst patients.

04Claims submitted with this code will not be reimbursed.

Codes mentioned

99072

Original notice

COVID-19 Coding Update for CPT 99072

hfproviders.org · Always check the source before changing claims.

View original ↗

Related policy hubs

Healthfirst policies Code 99072

Summaries are AI-assisted. Always confirm against the original payer notice.

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