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Thread: throat culture

  1. #1

    Default throat culture

    Promo: Code Books
    Can anybody tell me if there is a code for obtaining the specimen for a throat culture?

  2. #2
    Join Date
    Apr 2007
    Location
    Chicopee, MA
    Posts
    108

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    Obtaining the specimen would be included in the E&M servicve.

    If your office took the swab and sent it out, you could bill for specimen handling, 99000, but be aware that very few payors actually reimburse separately for the specimen handling.

    If you did the rapid strep test in your office then you could bill 87880. For Medicare you need a modifier -QW.. assuming you have a CLIA Certificate of Waiver.

    Erica

  3. #3
    Join Date
    Apr 2007
    Location
    Santa Rosa
    Posts
    172

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    If obtaining the 87880 specimen is included in the E/M, would it be appropriate to add a -26 or -ZS for Medi-Cal? We process it in house. I'm being asked for a modifier.
    Heidi Thompson, CPC

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