Wiki Influenza Tests

[maylac]

I am in Texas...and was wondering if anyone was having any
issues with Medicaid and the Influenza
tests codes 87804
87804 (59) (76) (TC)

they paid for the first test but not the second i tried
all three modifiers ...
don't know what is going on
anyone???

 

[mitchellde]

why are you billing for three test codes for influenza? It is possible you are using wrong modifer, wrong dx code, or both.

 

[Lisa Bledsoe]

If you are doing the rapid influenza A and rapid influenza B code:
87804 and 87804-59. They are different tests with the same code. Perhaps Texas Medicaid (like Colorado) just doesn't like the modifier...you could try 87804 x2.

 

[maylac]

influenza

why are you billing for three test codes for influenza? It is possible you are using wrong modifer, wrong dx code, or both.

no i only billed two what i mean is i tried all modifiers
there

 

[maylac]

If you are doing the rapid influenza A and rapid influenza B code:
87804 and 87804-59. They are different tests with the same code. Perhaps Texas Medicaid (like Colorado) just doesn't like the modifier...you could try 87804 x2.

I tried it today let's see what they respond I wanted to know
if anyone else was going thru the same thing I was.
I appreciate your input thank you and have a great day

 

[mitchellde]

have you tried using the modifier 91?