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Strep Test Questions

Bernadette Posted Fri 30th of January, 2015 10:57:51 AM


A patient comes in complaining about throat pain. The doctor examines and asks the nurse to run a strep test. The nurse performs the strep test and to document the order in the EHR she uses ICD-9 code 784.1. The test comes back negative. The doctor diagnoses the patient with ICD-9 code 462 - sore throat(NOS) viral. Would we bill the strep test with the 784.1 or 462 ICD-9 code? Please advise.

SuperCoder Answered Mon 02nd of February, 2015 08:12:10 AM

Thanks for your question.

Strep test should be coded with 462 Acute pharyngitis as 784.1 is a symptom and procedure should be billed with more specific and definitive available diagnosis.

Hope it helps resolve your query.

Thank you!

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