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Reimbursement Information

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
 serum84703$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 gIIserum/plasma86318$18.09
  whole blood 86318QW*$18.09
Mononucleosis
QuickVue+ Infectious Mononucleosis (Discontinued) serum/plasma86308$7.23

whole blood86308QW*$7.23
Chlamydia
QuickVue Chlamydia 87810$16.76
Bone Health
Metra DPD 82523$26.11
Metra BAP 84080$20.66

Important Notes:
† For state by state fee schedule go to www.cms.hhs.gov .

* "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.