The CPT codes provided below are based on AMA coding guidelines and are for informational purposes only. Selection of appropriate codes is the sole responsibility of the billing party. Providers should check with their contracted payers for appropriate codes prior to submitting claims. For any reimbursement related questions please e-mail reimb.support@quidel.com | |||
| Rapid Diagnostics | Coding | Medicare
Clin Lab Fee Schedule 2008 National Limit Amounts† |
|
| Pregnancy | |||
| QuickVue One-Step hCG Urine | urine | 81025QW* | $8.84 |
| QuickVue One-Step hCG Combo | urine | 81025QW* | $8.84 |
| serum | 84703 | $10.49 | |
| QuickVue+ One-Step hCG Combo | urine | 81025QW* | $8.84 |
| serum | 84703 | $10.49 | |
| RapidVue hCG (Discontinued) | urine | 81025QW* | $8.84 |
| Infectious Vaginitis | |||
| QuickVue Advance G. vaginalis | 82657** | $25.23 | |
| Influenza | |||
| QuickVue Influenza | 87804QW* | $16.76 | |
|
QuickVue Influenza A+B Option 1***: If results for both Influenza A and Influenza B are ordered by practitioner Influenza A: Influenza B: or Influenza A+B: Option 2***: If results for both Influenza A and Influenza B are ordered by practitioner Influenza A: Influenza B: |
87804QW* 87804QW* 87804QW* with 2 units of service 87804QW* 87804QW*, 59 |
$16.76 $16.76 $16.76 x2 $16.76 $16.76 | |
| Respiratory Syncytial Virus | |||
| QuickVue RSV | 87807 | $16.76 | |
| Fecal Occult Blood | |||
| QuickVue iFOB Immunochemical fecal occult blood test Diagnostic Use: All payers Screening Use: Non Medicare/Medicaid payers |
82274QW* | $22.22 | |
| QuickVue iFOB Immunochemical fecal occult blood test Screening Use: Medicare & Medicaid only |
G0328QW* | $22.22 | |
| Strep A | |||
| QuickVue Dipstick Strep A | 87880QW* | $16.76 | |
| QuickVue In-Line Strep A | 87880QW* | $16.76 | |
| QuickVue+ Strep A | 87880 | $16.76 | |
| H. pylori | |||
| QuickVue H. pylori gII | serum/plasma | 86318 | $18.09 |
| whole blood | 86318QW* | $18.09 | |
| Mononucleosis | |||
| QuickVue+ Infectious Mononucleosis (Discontinued) | serum/plasma | 86308 | $7.23 |
| whole blood | 86308QW* | $7.23 | |
| Chlamydia | |||
| QuickVue Chlamydia | 87810 | $16.76 | |
| Bone Health | |||
| Metra DPD | 82523 | $26.11 | |
| Metra BAP | 84080 | $20.66 | |
|
Important Notes: * "QW" modifier is added to report use of CLIA-waived test system(s) for Medicare/Medicaid claims. **AMA CPT 2007: 82657 "Enzyme activity in blood cells, culture cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen". When submitting a claim using a "not otherwise specified" CPT code, some payers may require a clinical note to describe the service provided. ***Options 1 and 2 are both considered appropiate by the professional organizations who advise on national CPT coding policy. However, local payers might establish differing policies. Providers should check with their contracted payers on coding requirements prior to submitting claims. Under Federal and State law, it is the individual provider's responsibility to determine appropriate coding, charges and claims for a particular service. Policies regarding appropriate coding and payment levels can vary greatly from payer to payer and change over time. Quidel Corporation strongly recommends that providers contact their contracted payers to determine appropriate coding and charge or payment levels prior to submitting claims. | |||