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. ...
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Article Overview
This short coding article explains how to think about reporting rapid influenza testing when a single encounter involves separate results for different influenza strains. It is aimed at coding and reimbursement professionals who need guidance on CPT reporting, unit billing, and when an additional modifier may be relevant in the claim submission process.
Why This Topic Matters
Laboratory and clinic coders often need clear guidance when a test produces more than one distinct result on the same device or during the same encounter. Understanding the article helps reduce inconsistent reporting and supports cleaner claim submission for influenza testing scenarios.
What You Will Learn
- How the article frames reporting for rapid influenza testing when more than one result is produced.
- What the article discusses about submitting multiple units for the same CPT laboratory service.
- How modifier use is addressed in the context of separate results from one test encounter.
- The general coding considerations raised by influenza A and B testing workflows.
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Laboratory managers
- Revenue cycle professionals
- Clinics and physician practices
Codes Discussed
Modifiers Discussed
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