decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 3 (March)
2 flu tests on one device? Use modifier 59
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Article Overview
This article discusses a coding clarification for rapid influenza testing in office settings during flu season. It focuses on AMA and CPT guidance, the role of separate test results, and the use of a modifier when reporting repeated testing on a single device. The content is most relevant to medical coders, billers, and practices that perform point-of-care influenza testing.
Why This Topic Matters
Influenza testing is common during seasonal surges, and coders need to know how authoritative guidance addresses reporting when one device produces multiple results. Understanding the article helps coding staff align documentation and claims with current CPT-oriented guidance.
Article Sections
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Flu season testing context
Introduces the seasonal setting for influenza testing and explains why rapid flu testing is common in outpatient practice. Provides public-health context from CDC reporting without getting into coding specifics.
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Rapid influenza test devices and coding question
Describes the general issue raised by rapid tests that detect more than one influenza strain on a single device. Frames the coding question being addressed by the article.
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AMA CPT Assistant guidance
Summarizes the AMA response to the coding question and the general concept of reporting separate results when applicable. This section centers on CPT-oriented clarification rather than detailed rulemaking.
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CPT manual microbiology guideline update
Discusses related CPT microbiology guidance and the way the wording of the guideline was revised. Explains how the article connects that guidance to the broader coding topic.
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Official resources
Lists CDC resources referenced for additional flu-season information and public-health data.
What You Will Learn
- How the article frames reporting issues for rapid influenza testing in seasonal practice
- What authoritative sources are cited in support of the coding clarification
- How CPT microbiology guidance is discussed in relation to separate influenza test results
- Where to find CDC flu-season reference information mentioned in the article
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Primary care practices
- Laboratory billing staff
Codes Discussed
Modifiers Discussed
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