Please clarify whether reporting code 87804 two times, once with modifier 59 (87804, 87804 59), would
be appropriate for differentiating rapid influenza tests; those providing separate, distinct results for both strains A and B on one device.
Answer:
The detection of both influenza A and B strains may be part of two entirely separate procedures or may be
included within the same test device because these two analyses are not uncommonly requested by the clinician together. If the assays provided two separate results (eg, a result for influenza A and a result for influenza B), two units of 87804 would be appropriate. Modifier 59, Distinct procedural service, may be used to indicate that the two results represent separate services, when two units of 87804 are submitted.
be appropriate for differentiating rapid influenza tests; those providing separate, distinct results for both strains A and B on one device.
Answer:
The detection of both influenza A and B strains may be part of two entirely separate procedures or may be
included within the same test device because these two analyses are not uncommonly requested by the clinician together. If the assays provided two separate results (eg, a result for influenza A and a result for influenza B), two units of 87804 would be appropriate. Modifier 59, Distinct procedural service, may be used to indicate that the two results represent separate services, when two units of 87804 are submitted.
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