tci ED Coding & Reimbursement Alert - 2009 Issue 8

You Be the Coder :Coding Physician's H1N1 Flu Screen Service

Question: A patient reports to the ED worried about a fever and chills; to rule out the H1N1 flu, the physician orders an immunoassay influenza screening.The patient does not have any type of flu. Should I report modifier 26 with 87804? Tennessee Subscriber Answer: You should not report 87804 or modifier 26 (Professional component) on this claim. When the ED physician orders a lab test to check for flu, you should consider the work part of the overall E/M. So if the notes indicate a level-two E/M, report 99282 (Emergency department visit for the evaluation and management of...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.

You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!