What does CPT code 87804 mean?
What does CPT code 87804 mean?
Infectious agent antigen detection
CPT® Code 87804 in section: Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation.
What is the CPT code for Influenza A and influenza B?
Article Guidance
| Test | CPT® Code |
|---|---|
| Rapid antigen tests – flu | 87804 |
| Rapid antigen tests – RSV | 87807 |
| PCR tests for influenza A or B only | 87501 |
| PCR tests for influenza (two targets) | 87502 |
How do I bill CPT 87804?
Mac advises coders to list 87804 on two lines with modifier 59 Distinct procedural service appended to the second unit of 87804. This is preferable to reporting the code twice on the same line, in her experience.
What is CPT code for influenza Rapid?
What is the CPT code 87880?
Providers should contact non-Medicare payers to determine whether billing for both CPT® 87880 and 87651 is permitted. As part of our annual Healthcare Effectiveness Data and Information Set (HEDIS) audit, we assess appropriate testing for children with pharyngitis.
What is procedure code 87426?
The code, 87426, represents antigen tests using an immunofluorescent or immunochromatographic technique for the detection of biomolecules produced by the SAR-CoV-2 virus (COVID-19).
What is the CPT code for Covid 19 testing?
March 13, 2020: Accepted addition of code 87635 to report infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique. The new code was effective March 13, 2020.
How do you bill for rapid flu test A and B?
To perform the rapid test, a respiratory sample (e.g., throat swab, nasopharyngeal swab, nasal aspirate, sputum) is obtained. Report code 87804 twice (even if one test kit was used) because two separate, distinct analyses are performed with separate test results: one for influenza virus A and one for influenza virus B.
What is CPT code 99213 used for?
CPT Code 99213 Description CPT Code 99213: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and a low level of medical decision making.
Can 87880 and 87651 be billed together?
There is a Correct Coding Initiative (CCI) edit for CPT® 87880 and 87651. This CCI edit CANNOT be overcome by a modifier. Therefore, for Medicare and any other payer that utilizes CCI edits, billing for both tests of this reflex testing scheme is not permitted.
What is the CPT code 99211?
Code 99211 is commonly used for services such as patient education, simple rechecks and medication reviews. A patient comes to the office for a blood-pressure check. If the visit was scheduled at the request of the physician, 99211 should be reported.
What is CPT code U0003?
U0003- Infectious agent detection by nucleic acid (DNA or RNA); Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique, making use of high throughput technologies as described by CMS-2020-01-R.
