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Rapid Flu A & B

  1. #1
    Location
    Modesto California
    Posts
    71
    Default Rapid Flu A & B
    Exam Training Packages
    Just got off the phone with our supplier for rapid flu tests a&B. One test tests for both A and then B. THey told me that I should code the rapid tests:
    87804 for A and then 87804 - 59 for B. Since it is the same test strip for both can you really bill for two different tests???

  2. #2
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    You are actually performing two different tests looking for two different results, so you code 87804, 87804-59.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  3. #3
    Location
    North Carolina
    Posts
    3,126
    Default
    I agree. Even though it's one test kit, it provides two, separate results. Our carriers also require modifier 59 on the second test.

  4. #4
    Location
    Modesto California
    Posts
    71
    Default
    Thank you. Just seemed like double dipping. But if its ok I will start.

  5. #5
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by gherimichele View Post
    Thank you. Just seemed like double dipping. But if its ok I will start.
    It's not double dipping...To reassure you, there is a CPT Assistant article that completely validates this. CPT Assistant May 2009.

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