tci Part B Insider - 2011 Issue 6

Influenza: 87804: Avoid Denials for Second-Strain Flu Testing

When determining whether a patient has both A and B strains, look to your MAC regarding whether modifier 59 is required.If you perform two tests to screen for two different strains of the flu, do 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).The answer, of course, depends on your MAC's policy, but in lieu of a written directive from your payer, the following tips can help you get your flu...

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