Wiki Billing for influenza A and B

[denisek1028]

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?

 

[midnight1995]

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.

 

[Squinncpc]

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

 

[jhendrix08]

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!