We're getting a CCI edit that states 86403 requires either 36415/36416 to be added. The office is using 86403 for rapid strep tests. Is it safe to have this edit removed since it doesn't apply to the billing scenerio?
Unless you are a lab and actually testing blood I don't believe you should be using 86403.
If you are truly doing a "rapid" strep test in the office using a throat culture you should be using 87880. 87880 is infectious agent detection by immunoassay with direct optical observation; streptococcus, group A. We add a QW to the code because we have a CLIA Certificate and QW indicates that the test is CLIA Waived. (All a QW indicates is that we have a CLIA certificate and that we are certified to do this type of test in the office) Most payers will not cover a non-CLIA Waived test in a Doctor's office.
Every resource I have shows 87081 as the code you would use for group B using a vaginal swab.