Forum - Questions & Answers

Mar 6th, 2013 - hometown2008

Influenza Test for Tricare

Tricare is denying my claim for the influenza A & B test. I am coding as follows:

99214
87804 87804
They deny the second one as a duplicate. Has anyone had any success in getting paid for both?

Thanks
Sarah

Mar 6th, 2013 - rphelps 615  1 

re: Influenza Test for Tricare

I bill 87804/QW and 87804/59QW

Mar 7th, 2013 - mgstrong 4 

re: Influenza Test for Tricare

Use modifier 91 for the second assay of the flu test:

99214
87804-QW
87804-QW91



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