tci Outpatient Facility Coding Alert - 2015 Issue 4

Influenza Information: Make a Rightful Claim for Second-Strain Flu Testing

The issue is whether to report two line items for two different stains. If your facility’s physicians perform two tests to screen for two different strains of the flu, it is important to determine whether you report two line items of the same code. That’s the issue in question as practices struggle to collect for multiple units of 87804 (Infectious agent antigen detection by immunoassay with direct optical observation; influenza). Report 87804-QW for Optical Analysis Code 87804 describes the rapid flu test approved by the FDA requiring Clinical Laboratory Improvement Act (CLIA)-waived status. Use this code for...

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