CPT^® 87804, Under Infectious Agent Antigen Detection

The Current Procedural Terminology (CPT^®) code 87804 as maintained by American Medical Association, is a medical procedural code under the range - Infectious Agent Antigen Detection.

Additional/Related Information

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Summary

The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.

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Forum

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87804

87636 is a combination test for COVID and flu A & B. 87804, even though it's slightly different ("by direct observation") is probably getting denied as a duplicate service. Why are you looking to unbu... [ Read More ]

87804

hello, i have claims getting denied due to bundling between 87636 and 87804 for covid testing. I would like to know what is the correct modifier to unbundle them. thank you... [ Read More ]

87804

hello, i have claims getting denied due to bundling between 87636 and 87804 for covid testing. I would like to know what is the correct modifier to unbundle them. thank you... [ Read More ]

QW and billing 87804.....

[QUOTE="nneecole, post: 506562, member: 97695"] Please help. 1. I work at a clinic that has a moderate complexity CLIA approved in house lab. I am a bit confused by the QW modifier. Do we still need ... [ Read More ]

Modifier 25

Is Modifier 25 required on an E/M code when tests are performed on the same DOS? Test would be 81003 UA dip, 87804 Flu screen, 87811 Visual Covid screen, basically any code that would start with 8?... [ Read More ]

Pharmacy & Clia Waived Testing

Hi Everyone! My name is Carrie. I am currently enrolled in the CPB course. My pharmacy has branched out into DME. That is going pretty well so far. I have learned a lot :LOL: My employer is getti... [ Read More ]

QW and billing 87804.....

Please help. 1. I work at a clinic that has a moderate complexity CLIA approved in house lab. I am a bit confused by the QW modifier. Do we still need to use the QW on Flu and strep swabs and urinal... [ Read More ]

QW modifier and billing 87804 A/B Flu swabs

Billing Units

[QUOTE="shrineoftata@aol.com, post: 505382, member: 103620"] I have a question concerning CPT 87428 should this be 3units for this code ? Being as 87426 is 1 unit and 87804 is 2 units if billed sepe... [ Read More ]

Billing Units

I have a question concerning CPT 87428 should this be 3units for this code ? Being as 87426 is 1 unit and 87804 is 2 units if billed seperately... [ Read More ]

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