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87430 & 87804

  1. Default 87430 & 87804
    Medical Coding Books
    Is anyone else having a problem getting these codes paid when done in the office?

  2. Default 87430 & 87804
    Quote Originally Posted by nc_coder View Post
    Is anyone else having a problem getting these codes paid when done in the office?
    The way we bill 87430 depend on the insurance company. If it is BCBS HMO/OA/POS we bill a code other than 87430. Some other HMOs/OA/POS we bill 87880 and the others use 87430. I will get back with you next week to give you the insurance company. Also if we have the dx 462 we use that.

    We bill 87804 as 87804-QW and 87804-59 make sure you use both. Also use all dx given that is linked to the flu. I hope this help.

    I just started coding for a Family Practice Clinic and I'm learning a lot.

    Vontressa Flournoy, CPC

  3. Default
    Thank you for the info. It was very helpful. I too am new to FP coding. the majority of my coding career has been general surgery. I am finding out there is a lot of differences.

  4. #4
    Default 87804
    @ trep72

    87804,qw 87804-59 do you use this for hmo's also?
    Brenda Amaro, CPC

  5. Default 87804
    we are now to post 87804 qw and then 87804 qw 59 this include HMO. Everyday something change.

    Vontressa

  6. #6
    Default
    very good thank you for all the help Vontressa
    Brenda Amaro, CPC

  7. Default
    Do you bill mcare the 87430 and if so do you need modifer qw?

    Quote Originally Posted by trep72 View Post
    the way we bill 87430 depend on the insurance company. If it is bcbs hmo/oa/pos we bill a code other than 87430. Some other hmos/oa/pos we bill 87880 and the others use 87430. I will get back with you next week to give you the insurance company. Also if we have the dx 462 we use that.

    We bill 87804 as 87804-qw and 87804-59 make sure you use both. Also use all dx given that is linked to the flu. I hope this help.

    I just started coding for a family practice clinic and i'm learning a lot.

    Vontressa flournoy, cpc

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