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Rapid Flu Test

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rkillian:
What is the correct cpt code for billing a rapid flu test in the office?

Michele:
If you are billing for the procedure in which you take a respiratory sample (e.g., throat or nasal swab, nasal aspirate or sputum) and do the rapid test, you should submit 87804, "Infectious agent antigen detection by immunoassay with direct optical observation; Influenza."  However, if you are using some other source (e.g., culture material) or technique, which would not generally be considered a "rapid" flu test, you should submit a different code, such as 87400, "Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple step method; Influenza, A or B, each.

Michele

redeyecherry:
I have been billing the Rapid flu test with 87804 modifier 59 and 87804 modifier QW, i used URI as diagnosis code but i am not getting paid.
Any suggestions?

Michele:
What is the denial reason?

redeyecherry:
"The Providerwas not certified/eiligible to be paid for this procedure/service on this date of service"

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