Tuesday, September 15, 2009

CPT Coding for Influenza A+B

BIG NEWS...Quidel has obtained additional coding clarification in regards to their QuickVue Influenza A+B Test.
1. Separate Results On One Test Strip May Be Coded Separately
2. Use Modifier 59= Use modifier 59 when separate results are reported for different species or strains that are described by the same code.

If results for both Influenza A and Influenza B are ordered by practitioner
For influenza A use: 87804QW*
For influenza B use: 87804QW*, -59

*QW modifier is added to report use of CLIA-waived test system(s) for Medicare/Medicaid claims.

Quidel suggests that you should check with local payers regarding their specific coding and reimbursement requirements.

Information taken from "Reimbursement and Health Economics (RHE) Bulletin #4, October 2008" from Quidel Corp.