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Mantoux Test ????

lapcpc

Networker
Messages
46
Best answers
0
When billing out for the mantoux test using code 86580, is it appropriate to bill out a 90772 (injection) or 90471 (vaccine administration)? This question has come up with our nurses and I want to give them accurate information. Please help!!

Lori :
 

noell426

Contributor
Messages
11
Location
Lehigh Acres, FL
Best answers
0
Mantoux Tests

Our office bills 99211 and 86580 for the intial injection day and we do not bill for the reading day. I don't think 90471 would be appropriate since a TB test is not a vaccination. Also, I believe 90772 can only be billed when there is direct physician supervision.
 

MJ4ever

Guru
Messages
188
Location
Temple, TX
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0
I would also bill a 99211 with 86580.
It is not coded with an administration CPT code.
The reading of the results is included in the first visit of the administration.
 

lisamilo

New
Messages
8
Location
Sacramento, CA
Best answers
0
Manatoux

In our offices we do not bill 99211 with 86580 since it is considered a lab test. When the patient comes back for the reading, for record keeping purposes, we use modifer NC with the 99211. This way we have a recorded visit as well as the chart note for proof the patient had the reading done.
 

dmaec

True Blue
Messages
1,133
Location
Hibbing, Minnesota
Best answers
0
we do not charge an office visit for a mantoux - not when it's done, and now when they come back for the read - documentation is there for both services - but only the 86580 is billed/coded out on the initial date.
 
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