decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 3 (March)
Use modifier 59 to bill flu tests A and B
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Article Overview
This article discusses how pediatric practices can interpret CPT guidance for influenza testing when a device produces separate results for multiple flu strains. It references a CPT Assistant question-and-answer, related CPT manual guidance, and Medicare fee schedule context, making it relevant to pediatric coders, billers, and reimbursement staff reviewing laboratory test reporting.
Why This Topic Matters
The article helps readers understand a common reporting issue for influenza assay billing and how CPT guidance addresses separate results from a single testing encounter. It is useful for practices trying to align laboratory coding with payer expectations and documentation.
What You Will Learn
- How the article frames influenza testing as a coding and reimbursement question
- What type of CPT guidance is cited to support the discussion
- Why separate test results are central to the billing issue
- How the article places the topic in a Medicare fee schedule context
Who Should Read This
- Pediatric coders
- Medical billers
- Revenue cycle staff
- Laboratory coding staff
- Practice administrators
Codes Discussed
Modifiers Discussed
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