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Medicare AdvantageBilling CodesMedium impact

COVID-19 Coding Update for CPT 99072

Healthfirst·Coding
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

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.

Action Required

Action needed
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.

Affected Billing Codes

99072