tci ED Coding & Reimbursement Alert - 2021 Issue Q1

Reader Questions: Mind Your Modifiers for Double Tests

Question: We often do double flu tests, one for flu A and one for flu B. We bill code 87804 for both, and I have tried to apply modifier 76 to the second one to show that it is not a duplicate. This is coming back as an error stating the modifier is either missing or incorrect. Which other modifier should I use? Or should I bill this scenario another way? Rhode Island Subscriber Answer: You can report the same code twice, but the rules on what to do next may vary. Per CPT®Assistant, May 2009; Volume 19:...

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