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87804-Is anyone else

  1. #1
    Default 87804-Is anyone else
    Exam Training Packages
    Is anyone else having a problem getting 87804 and 87804/59 paid? We are completely two test for A & B. I have been billing with the 59 modifier and still getting denials.

  2. Default Flu test
    I have not had anything come back to me from our AR department. Are the ones being denied Medicare patients? If so, are you appending the QW for both A and B tests? Is it anthem or tricare that is denying the claims? I know that Anthem does not like the 59 modifier.

  3. #3
    Alexandria Minnesota Chapter
    We bill 87804 x 2 units.

  4. #4
    Default Rapid Flu Screenings
    Check with the individual carrier on how they want you to bill this test. Some want it on one line billing 87804 on one line with 2 units.

    Others want you to bill 1 unit on each line and append a modifier 59 to the second line.

  5. #5
    Default 87804
    We are using 2 units and it has a qw mod. MCR North Carolina is reimbursing us.
    [I]Elizabeth Comma-Watson, CPC
    Billing/Coding Specialist
    Greensboro, NC 27455-2601

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