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 or call (800) 874-1517, option 2. | |||
| Rapid Diagnostics | Coding | Medicare
Clin Lab Fee Schedule 2010 National Limit Amounts† |
|
| Pregnancy | |||
| QuickVue One-Step hCG Urine | urine | 81025 | $9.06 |
| QuickVue One-Step hCG Combo | urine | 81025 | $9.06 |
| serum | 84703 | $10.76 | |
| QuickVue+ One-Step hCG Combo | urine | 81025 | $9.06 |
| serum | 84703 | $10.76 | |
| Influenza | |||
| QuickVue Influenza | 87804QW* | $17.18 | |
|
QuickVue Influenza A+B** If results for both Influenza A and Influenza B are ordered by practitioner Influenza A: Influenza B: |
87804QW* 87804QW*, 59 |
$17.18 $17.18 |
|
| Respiratory Syncytial Virus | |||
| QuickVue RSV | 87807QW* | $17.18 | |
| Fecal Occult Blood | |||
| Medicare/Medicaid | |||
| QuickVue iFOB | Diagnostic | 82274QW* | $22.78 |
| QuickVue iFOB | Screening | G0328QW* | $22.78 |
| Private Insurance | |||
| QuickVue iFOB | Diagnostic | 82274 | $22.78 |
| QuickVue iFOB | Screening | 82274 | $22.78 |
| Strep A | |||
| QuickVue Dipstick Strep A | 87880QW* | $17.18 | |
| QuickVue In-Line Strep A | 87880QW* | $17.18 | |
| QuickVue+ Strep A | 87880 | $17.18 | |
| H. pylori | |||
| QuickVue H. pylori gII | serum/plasma | 86318 | $18.54 |
| whole blood | 86318QW* | $18.54 | |
| Chlamydia | |||
| QuickVue Chlamydia | 87810 | $17.18 | |
| Bone Health | |||
| Metra DPD | 82523 | $26.77 | |
| Metra BAP | 84080 | $21.19 | |
|
Important Notes: * "QW" modifier is added to report use of CLIA-waived test system(s) for Medicare/Medicaid claims. **Depending on individual payer coding policies, it is possible that certain payers will require one of the following coding scenarios:
Effective January 1, 2010, CPT 81025 DOES NOT require a QW modifier to be recognized as a waived test. Source: CMS Job Aid 6685 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. | |||