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Wiki Billing for influenza A and B

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denisek1028

Networker
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87
Location
Oregon City, OR
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Hello,

If we perform influenza A & B in the clinic and it gets sent for culture, can we still bill for the flu test in the clinic?
 
Yes you can bill for the lab code 87804 - please review the guideline on billing. Most provider do not realize you can bill for 2 of the 87804 because provider gets to results.
 
Influenza A&B

when billing make sure you append the 59 modifier for the second 87804 when the provider performs two test for A and B influenza
 
Yes, agreed. As long as your test in the office checks for both the A and B strains, you can bill for two tests (CPT 87804 and add modifier 59 to the second test as the previous reply mentions). We have recently billed a few out and have had no issues.

If it's a Medicare patient, I was told to also use modifier QW to indicate it's a CLIA waived test and allowed to be done if office as long as you have a CLIA certification for your lab.

Hope that helps!
 
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