SB 5169

Posted: 4-21-2021

Great news!  Now that SB 5169 has been signed into law and is effective as of April 16th, health care providers can now submit for reimbursement for PPE!  The new law requires that providers have “incurred expenses” for PPE for an in-person patient encounter.  The billing code to use is 99072.  There are no other requirements in the new law.  However, it would be prudent to retain documentation of your use of PPE when treating patients in-person.  This new law applies to commercial insurance plans only; it does not apply to self-funded plans, Medicaid, or plans under SEBB and PEBB.  And it only applies for the duration of the federal public health emergency related to COVID-19.

Please let WSLHA know if you are running into any problems with this reimbursement.  

SB 5169 was one of WSLHA’s top priority issues this session, and we actively advocated for this bill to be passed into law.  This advocacy included direct communication with lawmakers and participation in a coalition of other health care professional associations.