Wiki 87430 & 87804

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nc_coder said:
Is anyone else having a problem getting these codes paid when done in the office?
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The way we bill 87430 depend on the insurance company. If it is BCBS HMO/OA/POS we bill a code other than 87430. Some other HMOs/OA/POS we bill 87880 and the others use 87430. I will get back with you next week to give you the insurance company. Also if we have the dx 462 we use that.

We bill 87804 as 87804-QW and 87804-59 make sure you use both. Also use all dx given that is linked to the flu. I hope this help.

I just started coding for a Family Practice Clinic and I'm learning a lot.

Vontressa Flournoy, CPC
 
Thank you for the info. It was very helpful. I too am new to FP coding. the majority of my coding career has been general surgery. I am finding out there is a lot of differences.
 
87804

we are now to post 87804 qw and then 87804 qw 59 this include HMO. Everyday something change.

Vontressa
 
Do you bill mcare the 87430 and if so do you need modifer qw?

trep72 said:
the way we bill 87430 depend on the insurance company. If it is bcbs hmo/oa/pos we bill a code other than 87430. Some other hmos/oa/pos we bill 87880 and the others use 87430. I will get back with you next week to give you the insurance company. Also if we have the dx 462 we use that.

We bill 87804 as 87804-qw and 87804-59 make sure you use both. Also use all dx given that is linked to the flu. I hope this help.

I just started coding for a family practice clinic and i'm learning a lot.

Vontressa flournoy, cpc
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