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Can a pediatrician bill for a nasal swap to test for pertussis?

  1. Default Can a pediatrician bill for a nasal swap to test for pertussis? What code do I use?
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    I have reviewed quite a few articles on the web and there are varied opinions as to what code to use: 87798, 87801, 87265? I need to know what code to use for the pediatrician to record?
    Last edited by kuribe; 07-17-2009 at 03:14 PM.

  2. Default
    I need help!

  3. Default
    What exactly is the pediatrician doing? The codes you listed are the lab codes. If all the pediatrician is doing is taking a swab, then it would be included in your E/M code.

  4. #4
    Milwaukee WI
    Default Clarification please
    Do you need a code for the lab? Or are you looking for a procedure code for obtaining the swab?

    Obtaining the swab is part of the E/M service - no separate code.

    F Tessa Bartels, CPC, CEMC

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