Rapid Flu Test A & B

spatterson8317

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Local Chapter Officer
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4
Location
Abilene, TX
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Can someone help shine some light on billing for this test. I am running into some confusion on it. I have found different links saying if the test is done for A & B, then we can use a 59 modifier while some say use the 91. I have even found information saying we can do it on one line as 2 units. We are billing for the physician doing the test in the office, not the lab. Any thoughts and feed back would be most helpful. Links I have found are not really current.

I have this link that is current:
http://codingforprimarycare.com/dont-forget-influenza-claims-january-03-2017/

then these as well:

https://www.aapc.com/memberarea/forums/24674-rapid-influenza-test.html

https://www.supercoder.com/coding-newsletters/my-pediatric-coding-alert/should-you-report-that-flu-test-once-or-twice-article

https://www.supercoder.com/my-ask-an-expert/topic/modifier-59-60

https://books.google.com/books?id=F9kzDwAAQBAJ&pg=PA354&lpg=PA354&dq=Rapid+flu+test+91+modifier&source=bl&ots=GRuRbxFIxl&sig=YFEwbbqrvh12Tkhg2MSd7wGVwSU&hl=en&sa=X&ved=0ahUKEwio-Ov3zs3YAhVn0YMKHU45AMwQ6AEIlQEwFQ#v=onepage&q=Rapid flu test 91 modifier&f=false

Thanks for you help :)
 
Messages
214
Location
Virginia
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We bill this on 2 lines with modifier 59 appended to the second line without any problems. We also do this test in office.

I hope this helps.
 

acatlett

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FLu A/B

With Humana you have to bill on two separate lines with mod 91 on the second line. All other insurances you can bill on one line with unit of 2 and mod 91 This is how we bill at our family practice office and receive payment.
 
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With Humana you have to bill on two separate lines with mod 91 on the second line. All other insurances you can bill on one line with unit of 2 and mod 91 This is how we bill at our family practice office and receive payment.
Hello, May I ask what insurance is paying this? . The 91 modifier Means "repeat procedure" which would not apply because you are billing for test A and B which are separate test.
 
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