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Wiki 87804-Is anyone else

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klp010102

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Is anyone else having a problem getting 87804 and 87804/59 paid? We are completely two test for A & B. I have been billing with the 59 modifier and still getting denials. :confused:
 
Flu test

I have not had anything come back to me from our AR department. Are the ones being denied Medicare patients? If so, are you appending the QW for both A and B tests? Is it anthem or tricare that is denying the claims? I know that Anthem does not like the 59 modifier.
 
Rapid Flu Screenings

Check with the individual carrier on how they want you to bill this test. Some want it on one line billing 87804 on one line with 2 units.

Others want you to bill 1 unit on each line and append a modifier 59 to the second line.
 
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