When we perform tests to detect influenza A and B antigens, can we report code 87804 twice?
Yes. When separate tests are performed generating 2 separate results (eg, positive or negative finding for influenza virus A; positive or negative finding for influenza virus B), report the procedure (87804) twice with modifier 59 (distinct procedure) appended to the second service. Some payers do not recognize modifier 59 and may require reporting code 87804 with 2 units of service without a modifier. Check with your payers to learn their reporting policies.
Which diagnosis code should be used to report problems associated with toilet training?
There is not a specific International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code that describes toilet-training concerns or resistance. If the physician describes the problem as a lack of normal physiologic development, code 783.40 may be appropriate. If there is documentation of abnormalities of...