Results 1 to 6 of 6

Thread: rapid flu test

  1. #1
    Join Date
    Apr 2007
    Location
    Las Vegas
    Posts
    35

    Question rapid flu test

    I need help billing rapid flu test, this is for Influenza A & B. I'm looking at cpt code 87275,87276 and 87400. How can I code them correctly. Appreciate any help. Thanks

  2. #2

    Default

    Quote Originally Posted by ayen View Post
    I need help billing rapid flu test, this is for Influenza A & B. I'm looking at cpt code 87275,87276 and 87400. How can I code them correctly. Appreciate any help. Thanks

    Hi,
    Can code 87400 & 87400-59;
    LM

  3. #3
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,127

    Default

    It depends on your method...

    Direct optical observation =

    The appropriate code to report is code 87804, Infectious agent antigen detection by immunoassay with direct optical observation; Influenza. For code 87804, a respiratory sample (eg, throat swab, nasopharyngeal swab, nasal aspirate, sputum) is obtained to perform the rapid test.

    Code 87804 is reported twice because two separate, distinct analyses are performed, providing two separate test results, one for influenza virus A and one for influenza virus B, even if it was one test kit. Certain payers may require the use of modifier 59 when the same CPT code is used; alternatively, the payer may require use of the units box on the claim form.

  4. #4
    Join Date
    Apr 2007
    Location
    Houston, Texas
    Posts
    24

    Wink Definative answer from binax

    Quote Originally Posted by ayen View Post
    I need help billing rapid flu test, this is for Influenza A & B. I'm looking at cpt code 87275,87276 and 87400. How can I code them correctly. Appreciate any help. Thanks
    Okay, I went to the source to get a definative answer about how to code the rapid flu test A/B. This is how it is done;
    (87804 is with visual confirmation, and is the correct code for the quick A/B flu test per Binax)
    87804QW & 8780459QW.
    The QW on the first one is, of course for clia waved and the 59 on the second one is to show it was done more than once and the second one still needs the QW to show clia waved. ja
    Last edited by JacquelynA; 02-24-2010 at 11:28 AM.

  5. #5
    Join Date
    Apr 2007
    Location
    Houston, Texas
    Posts
    24

    Red face

    Quote Originally Posted by rebeccawoodward View Post
    It depends on your method...

    Direct optical observation =

    The appropriate code to report is code 87804, Infectious agent antigen detection by immunoassay with direct optical observation; Influenza. For code 87804, a respiratory sample (eg, throat swab, nasopharyngeal swab, nasal aspirate, sputum) is obtained to perform the rapid test.

    Code 87804 is reported twice because two separate, distinct analyses are performed, providing two separate test results, one for influenza virus A and one for influenza virus B, even if it was one test kit. Certain payers may require the use of modifier 59 when the same CPT code is used; alternatively, the payer may require use of the units box on the claim form.
    You are correct! But don't forget the modifiers.
    Okay, I went to the source to get a definative answer about how to code the rapid flu test A/B. This is how it is done;
    (87804 is with visual confirmation, and is the correct code for the quick A/B flu test per Binax)
    87804QW & 8780459QW.
    The QW on the first one is, of course for clia waved and the 59 on the second one is to show it was done more than once AND the second one still needs the QW to show clia waved. ja

  6. #6
    Join Date
    Apr 2007
    Location
    Houston, Texas
    Posts
    24

    Default BINAX says.....

    2017 ICD-10-CM Coding Book
    Okay, I went to the source to get a definative answer about how to code the rapid flu test A/B. This is how it is done;
    (87804 is with visual confirmation, and is the correct code for the quick A/B flu test per Binax)
    87804QW & 8780459QW.
    The QW on the first one is, of course for clia waved and the 59 on the second one is to show it was done more than once and the second one still needs the QW to show clia waved. ja

Similar Threads

  1. Rapid Flu Test
    By tmr1965 in forum Family Practice
    Replies: 1
    Last Post: 01-02-2016, 04:54 PM
  2. Coding rapid flu testing
    By calderonmark in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 12-24-2014, 08:24 AM
  3. Rapid Flu A & B
    By gherimicheleCPC in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 03-25-2010, 11:09 AM
  4. Rapid A and B influenza test
    By codecrazy in forum Family Practice
    Replies: 9
    Last Post: 11-05-2009, 07:15 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.