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Influenza Tests

  1. Question Influenza Tests
    Exam Training Packages
    I am in Texas...and was wondering if anyone was having any
    issues with Medicaid and the Influenza
    tests codes 87804
    87804 (59) (76) (TC)

    they paid for the first test but not the second i tried
    all three modifiers ...
    don't know what is going on
    anyone???

  2. #2
    Location
    Columbia, MO
    Posts
    12,561
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    why are you billing for three test codes for influenza? It is possible you are using wrong modifer, wrong dx code, or both.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    If you are doing the rapid influenza A and rapid influenza B code:
    87804 and 87804-59. They are different tests with the same code. Perhaps Texas Medicaid (like Colorado) just doesn't like the modifier...you could try 87804 x2.
    Lisa Bledsoe, CPC, CPMA

  4. Default influenza
    Quote Originally Posted by mitchellde View Post
    why are you billing for three test codes for influenza? It is possible you are using wrong modifer, wrong dx code, or both.
    no i only billed two what i mean is i tried all modifiers
    there

  5. Default
    Quote Originally Posted by Lisa Curtis View Post
    If you are doing the rapid influenza A and rapid influenza B code:
    87804 and 87804-59. They are different tests with the same code. Perhaps Texas Medicaid (like Colorado) just doesn't like the modifier...you could try 87804 x2.
    I tried it today let's see what they respond I wanted to know
    if anyone else was going thru the same thing I was.
    I appreciate your input thank you and have a great day

  6. #6
    Location
    Columbia, MO
    Posts
    12,561
    Default
    have you tried using the modifier 91?

    Debra A. Mitchell, MSPH, CPC-H

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