CPT code 99072: PHE supplies, supplies, materials, and staff time2026 Medicare rate & RVUs in Washington, DC area

CMS doesn’t publish a rate for 99072 in Washington, DC area.

Check a contract rate as a % of Medicare · 99072 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99072 covers

99072 represents added infection-control supplies, materials, and clinical staff time beyond resources ordinarily included in an office visit or other non-facility service. It is associated with services performed during a public health emergency due to a respiratory-transmitted infectious disease. Physicians and other qualified health care professionals may report it when these additional resources are used in connection with the non-facility service.

For Medicare, 99072 has physician fee schedule status B: its payment is bundled into payment for other services, and Medicare never pays the code separately. The code describes the added supplies, materials, and staff time together, rather than an individual supply item or a measure of staff minutes. It is associated with office visits and other non-facility services.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 99072

Every other payment area

99072 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 99072 in every payment locality

How the 99072 rate is calculated

Each of 99072’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 99072

99072 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 99072

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 99072 has changed in Washington, DC area

Price 99072 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates