December 2007 page 15
Bonus Feature:Pathology and Laboratory
Question: Please clarify whether reporting code 87804 two
times, once with modifier 59 (87804, 87804 59), would
be appropriate for differentiating rapid influenza tests; those
providing separate, distinct results for both strains A and B on
one device.
Answer: The detection of both influenza A and B strains
may be part of two entirely separate procedures or may be
included within the same test device because these two
analyses are not uncommonly requested by the clinician
together. If the assays provided two separate results (eg, a
result for influenza A and...
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articles:
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This December 2007 Pathology and Laboratory article addresses a coding question involving rapid influenza testing and the reporting of separate laboratory results. It is relevant for coders, billers, and laboratory compliance staff who work with CPT reporting guidance and modifier usage in pathology and laboratory services. The article presents a brief Q&A format centered on when multiple service units and a modifier may be discussed in relation to one test platform producing distinct results.
Why This Topic Matters
Laboratory coding often depends on whether testing produces one combined result or separate reportable services. This article helps readers understand the general reporting scenario being discussed in a CPT Assistant Q&A context.
Article Sections
December 2007 page 15
A brief bonus feature in the Pathology and Laboratory series presenting a coding question and response from CPT Assistant. The discussion centers on rapid influenza testing and reporting considerations for laboratory services.
What You Will Learn
The article’s topic focus within pathology and laboratory coding
How the Q&A is framed for rapid influenza testing reporting
The general type of CPT Assistant guidance addressed in the piece
The role of modifier-related discussion in a laboratory coding context
Who Should Read This
Medical coders
Laboratory billing staff
Compliance professionals
Pathology and laboratory practices
Codes Discussed
CPT: 87804
Modifiers Discussed
CPT: 59
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