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CPT Code 99070 | Supplies & Materials

CPT code 99070 is a billing code for additional supplies or materials provided to a patient during an encounter. 

What Is CPT Code 99070?

CPT code 99070 refers to a medical billing code for additional supplies or materials provided to a patient by a healthcare provider during an encounter.

These supplies may include medical supplies, medications, trays, or medical devices but do not include spectacles or eyeglasses.

This code may be used when the provider uses more supplies or materials than would generally be used during an encounter or when the provider provides additional materials to the patient beyond what is normally provided.

99072 may be used for additional supplies, materials, and clinical staff time required during a public health emergency due to a respiratory-transmitted infectious disease.

Description

The CPT book describes CPT code 99070 as: “Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided).”

Procedure

The provider examines and treats the patient using more supplies or materials than would normally be used or by providing the patient with additional materials beyond what is usually provided.

How To Use CPT 99070

CPT code 99070 is a medical billing code that can be used in addition to an evaluation and management, or E/M, code to report supplies provided to a patient during an encounter.

These supplies may include medical equipment, surgical trays, or other materials. The American Medical Association (AMA) and Medicare include the cost of essential supplies in a provider’s fee schedule, and the site of service differential in the Medicare fee schedule is intended to cover these supplies and services.

As a result, providers may receive higher payment for procedures performed in the office rather than in a facility.

Using 99070 to bill for separately billable supplies in the office is possible. Still, HCPCS Level II codes may be a better choice because they offer more detailed descriptions of the supplies and can be linked to specific reimbursement.

If CPT code 99070 is used, the provider may need to describe the supply and provide a copy of the invoice from the supplier for pricing purposes.

Medicare does not pay separately for trays and instead bundles the cost into the payment for the surgical procedure, such as laceration repair, which includes the practice expense associated with the tray.

Resources

CPT Professional 2022

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