AAPC - Back to school
Results 1 to 5 of 5

Thread: 87804

  1. #1

    Default 87804

    AAPC: Back to School
    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. #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
    Join Date
    Apr 2007
    Alexandria Minnesota Chapter


    We bill 87804 x 2 units.

  4. #4
    Join Date
    Apr 2007
    Baton Rouge Local Chapter

    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
    Join Date
    Apr 2007

    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

Similar Threads

  1. 87804, help please!?
    By nreynolds in forum Billing/Reimbursement
    Replies: 4
    Last Post: 06-11-2015, 11:11 AM
  2. 87804
    By tboone in forum Billing/Reimbursement
    Replies: 2
    Last Post: 01-14-2015, 05:53 AM
  3. 87804
    By cingram in forum Internal Medicine
    Replies: 0
    Last Post: 06-12-2012, 10:51 AM
  4. 87804 and modifier 92
    By codecrazy in forum Modifiers
    Replies: 4
    Last Post: 01-17-2010, 08:27 AM
  5. 87804 vs 87400
    By ltaylorcpc in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 04-21-2009, 11:57 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?


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.