E/M Coding Alert - 2010 Issue 41
Reader Questions: Two Flu Tests, Three Coding Options
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Article Overview
This reader Q&A explains how to think about reporting influenza A and B testing when one specimen yields separate results for each virus type. It is aimed at coders and billing staff who need to understand general reporting options, modifier usage discussed in a cited coding resource, and the importance of payer policy variation.
Why This Topic Matters
Influenza testing is common, and small differences in assay structure and payer rules can affect how claims are reported and processed. The article helps readers recognize that payer instructions may differ and should be checked before submitting claims.
What You Will Learn
- How the article frames reporting when one flu test produces separate influenza A and B results
- Why payer-specific guidance can affect reporting of multiple test results
- What general coding topics are discussed in relation to duplicate or distinct testing
- Why confirming payer policies is emphasized
Who Should Read This
- Medical coders
- Billing staff
- Clinical office staff
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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