CPT code 99072: PHE supplies, supplies, materials, and staff time2026 Medicare rate & RVUs in Texas
Reports additional infection-control supplies, materials, and clinical staff time used with a non-facility service during a respiratory-transmitted infectious disease public health emergency.
CMS doesn’t publish an office rate for 99072 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 99072 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | Unavailable |
| Beaumont, TX | Unavailable | Unavailable |
| Brazoria, TX | Unavailable | Unavailable |
| Dallas, TX | Unavailable | Unavailable |
| Fort Worth, TX | Unavailable | Unavailable |
| Galveston, TX | Unavailable | Unavailable |
| Houston, TX | Unavailable | Unavailable |
| Rest of Texas | Unavailable | Unavailable |
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.
How the rate is built · 99072
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · 99072
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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99072 isn’t priced in this setting.
99072 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99070Special suppliesBeyond usual service
- 99070 describes special supplies and materials. 99072 describes added supplies, materials, and clinical staff time during a public health emergency due to a respiratory-transmitted infectious disease.
- 99071Patient educationMaterials supplied
- 99071 concerns patient education materials; 99072 concerns additional infection-control supplies, materials, and clinical staff time during the applicable public health emergency.
- 99213Office visitEstablished patient, low complexity
- 99213 represents an established-patient office or outpatient E/M service. 99072 describes additional PHE-related resources associated with a non-facility service and is bundled by Medicare.
99072 billing questions
How does 99072 differ from 99070?
99072 describes added supplies, materials, and clinical staff time during a respiratory-transmitted infectious disease public health emergency. 99070 describes special supplies and materials.
What resources does 99072 describe?
It describes additional infection-control supplies, materials, and clinical staff time used with a non-facility service during the applicable public health emergency.
Does Medicare pay 99072 separately?
No. Medicare assigns status B, so payment is bundled into payment for other services and the code is never paid separately.
What kind of service is associated with 99072?
It is associated with an office visit or another non-facility service performed during a public health emergency due to a respiratory-transmitted infectious disease.
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
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