Specify the exact specimen source/origin (eg, nasopharynx). "Moving quickly during this crisis to meet the medical coding needs of the health care industry has enhanced the reporting of innovative tools now . Absence of a Bill Type does not guarantee that the
Do not use transport devices beyond their expiration date. Applications are available at the American Dental Association web site. Residents and fellows deciding on a practice setting should be armed with all the relevant details. Copyright © 2022, the American Hospital Association, Chicago, Illinois. The new additions and revisions to the CPT code set have been approved for immediate use. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Previous video. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. (the prototype used was POCT rapid Strep screening). Kidney disease can be prevented, and even reversed in its early stages. Influenza viruses. endstream
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Your first thought is to code this as acute laryngitis, J04.0; however, this code falls in the J00-J06 range titled "Acute upper respiratory infections" and you see no evidence that this is an . CLIA waived; 343 0 obj
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A patient has had recent close exposure (this does NOT include eating cooked meat) to pigs or birds (including poultry) or other animals, and there is concern for infection with a novel influenza A virus. End User License Agreement:
Please note, effective Jan. 1, 2021, tests U0003 and U0004 will be reimbursed at $75 when not completed within two calendar days of the specimen being collected. "JavaScript" disabled. Throat or nasopharyngeal (NP) swab or wash, sputum, bronchial washings, bronchoalveolar lavage (BAL). Accessed 4/27/21. our vaccine rep inform us to code 87804 and 87804(-91) because we are billing for both A and B. we just started to bill this, not sure of reimbursement yet. Rapid influenza diagnostic tests (RIDTs) RIDTs, also called flu antigen tests, are the most common type of flu test. Influenza viruses. PCR confirmed positive and negative clinical samples were screened with the Panbio COVID-19/Flu A&B Rapid Panel test, an lateral flow strip immunoassay for nucleocapsid proteins of CoV-1, Influenza A and B. Not every residency match is made to last, as more than 1,000 residents transfer programs each year. They can identify the presence of influenza A and B, and they work by detecting the parts of the flu virus called antigens that trigger an immune response. This culture is for the isolation of influenza A and influenza B, other viral agents will not routinely be detected. Reproduced with permission. opportunity for Oseltamivir (Tamiflu) treatment for positive patients, Results available in approximately 2-4 hours, Article - Billing and Coding: Influenza Diagnostic Tests (A58817). not endorsed by the AHA or any of its affiliates. The CMS.gov Web site currently does not fully support browsers with
article does not apply to that Bill Type. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions;
October 16, 2020. It is the responsibility of each laboratory to . Under Article Title changed the title from "Influenza Diagnostic Tests" to " Billing and Coding: Influenza Diagnostic Tests". In: Belshe RB, ed. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. For a better experience, please enable JavaScript in your browser before proceeding. A positive result (on testing of an upper respiratory tract specimen) in a person who recently received intranasal administration of live attenuated influenza virus vaccine (LAIV) may indicate detection of vaccine virus. article does not apply to that Bill Type. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Shaw MW, Arden NH, Maassab HF. Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. For rapid differential diagnosis of acute influenza A and influenza B viral infections. Room Temperature. All rights reserved.
The ability to use just one swab during a healthcare visit, rather than four separate tests, aims to decrease discomfort, lessen cost demands for doctors and lab workers . In no event shall CMS be liable for direct, indirect, special, incidental, or consequential
However, testing is not needed for all outpatients with signs and symptoms consistent with influenza before making antiviral treatment decisions, particularly once influenza activity has been documented in the community. Tests will be run in the order of receipt only, tests remaining at the end of each shift will be reordered under NCVQLT for transport to UW Virology. The Solution. For use with Sofia 2 and Sofia. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. Per the office this is a nasal swab. "JavaScript" disabled. Two of the newly approved codes report nucleic acid assays that allow a single test to simultaneously detect the novel coronavirus and a combination of common viral infectious agents, including influenza A/B and respiratory syncytial virus, said AMA President Susan R. Bailey, M.D. 352 0 obj
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Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. The AMA leverages its strength by removing the obstacles that interfere with patient care, leading the charge to prevent chronic disease and confront public health crises and, driving the future of medicine to tackle the biggest challenges in health care. The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. Supplier: Quidel 20218. Article document IDs begin with the letter "A" (e.g., A12345). Contractors may specify Bill Types to help providers identify those Bill Types typically
Rapid Immunoassay for Direct Detection and . When Medicare patients are being tested via rapid testing for influenza the sites are billing 87804 influenza A AND 87804 influenza B. The FDA has authorized the first nonprescription diagnostic test that can identify multiple viruses that cause COVID-19-like respiratory symptoms, including respiratory syncytial virus (RSV). 7500 Security Boulevard, Baltimore, MD 21244. CPT Code: 87804QW and 87804 (see table) Sensitivity: 100% (Flu A); 93% (Flu B) Specificity: 96% (Flu A); 97% (Flu B) One-step, rapid immunochromatographic assay; Qualitative detection of influenza A and B nucleoprotein antigens ; Applicable FARS\DFARS Restrictions Apply to Government Use. Please help me in coding this. Harmon MW, Kendal AP. Streamlines laboratory operations. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions;
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with
We will specifically apply our methods to evaluate the potential for predicting routes to drug resistance in pathogens. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). THE UNITED STATES
Of these, only two showed a positive RAD test for Influenza A. As the only medical association that convenes 190+ state and specialty medical societies and other critical stakeholders, the AMA represents physicians with a unified voice to all key players in health care. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. Sometimes, a large group can make scrolling thru a document unwieldy. preparation of this material, or the analysis of information provided in the material. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. . If a CLIA-waived test is performed, the -QW modifier should be reported for the waived test. The document is broken into multiple sections. CMS and its products and services are
Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. The code joins other COVID-19 testing codes already approved by the CPT Editorial Panel, an independent body convened by the AMA that has the sole authority to expedite the review of proposed changes and additions to the CPT code set. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. "lV $10120^ &'@ A
Influenza Type A and Type B. The update to the CPT code set was approved by the CPT Editorial Panel, the independent body convened by the AMA with authority to review and approve proposed additions and revisions to the CPT code set. Under Article Text subheading Reference the access date was . Effective March 5, 2020. Content And Storage. The sensitivity values of the kit were 97.5%, 97.9%, and 33.33% for SARS-CoV-2, IAV, and IBV, respectively, in samples with a viral load below 20 Ct values. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Code 87804 (infectious agent antigen detection by immunoassay with direct optical observation; influenza) is appropriate for these tests, which are Clinical Laboratory Improvement Amendments (CLIA) waived (ie . The American Medical Association is the physicians powerful ally in patient care. Neither the United States Government nor its employees represent that use of such information, product, or processes
The CPT Editorial Panel also revised CPT codes ranging from 87301 to 87430 by removing the undefined term multi step method from code descriptors. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. Positive and negative included. All rights reserved. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. McKesson Brand #181-36025. By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. 2012; 156;500-511 3. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. ID NOW Influenza A & B 2 Product Insert 4. The test is intended for use in the simultaneous rapid in vitro detection and differentiation of SARS-CoV-2, influenza A virus, and influenza B virus nucleocapsid protein antigen , but does not . The views and/or positions presented in the material do not necessarily represent the views of the AHA. All Rights Reserved. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. ONLY IF NO MORE DESCRIPTIVE MODIFIER IS AVAILABLE, AND THE USE OF MODIFIER -59 BEST EXPLAINS THE CIRCUMSTANCES, SHOULD MODIFIER -59 BE USED. End User Point and Click Amendment:
End Users do not act for or on behalf of the CMS. Effective April 3 . Editor's note: While this department attempts to provide accurate information and useful advice, third-party . Table 2: Available FDA-Cleared Rapid Influenza Diagnostic Tests (Antigen Detection Only) 1. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Officials and members gather to elect officers and address policy at the 2023 AMA Annual Meeting being held in Chicago, June 9-14, 2023. Influenza A/B and RSV PCR w/ Subtyping. When we billed Medicare for both of these CPTs they were denied . Rapid, one-step lateral flow test that differentiates between influenza virus A and B within 15 minutes. End User Point and Click Amendment:
Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). Rapid Test Kit McKesson Consult Infectious Disease Immunoassay Influenza A + B Nasal Swab / Nasopharyngeal Wash / Nasopharyngeal Aspirate Sample 25 Tests CLIA Waived. Includes: influenza A (non-novel), influenza B, influenza C. Vignette. Reproduced with permission. JavaScript is disabled. of every MCD page. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Learn more about the process with the AMA. A patient has had recent close exposure (this does NOT include eating cooked meat) to pigs or birds (including poultry) or other animals, and there is concern for infection with a novel influenza A virus. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". Your MCD session is currently set to expire in 5 minutes due to inactivity. As laboratory tests, Medicare will cover these codes at 100% of their allowed amount with no deductible or coinsurance applied. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. Test code: 97636. Clinical significance: Influenza is an acute viral disease that is seasonal in incidence, occurring in the colder months. Changes to the CPT code set are considered through an open editorial process managed by the CPT Editorial Panel that collects broad input from the health care community and beyond to ensure CPT content reflects the coding demands of digital health, precision medicine, augmented intelligence, and other aspects of a modern health care system. Accurate and reliable detection of Flu A and Flu B in as soon as 20 minutes*. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. Copyright © 2022, the American Hospital Association, Chicago, Illinois. * For positive Flu only or RSV only. Qualitative detection and differentiation of Influenza types A & B and SARS coronavirus antigens in upper respiratory specimens, including n. See page for copyright and more information. The performance characteristics of rapid influenza diagnostic tests vary widely. Specimens should be placed into viral transport medium and kept cold at all times. While every effort has been made to provide accurate and
The laboratory has the capacity for a maximum of 8 rapid tests (FABRCV + NCVRPD) every hour. Also, you can decide how often you want to get updates. All Rights Reserved (or such other date of publication of CPT). Flu A: 87804; Flu B: 87804-59 (modifier used to indicate separate test) Detectable Analytes. Next video. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Learn more with the AMA. #7. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Yes, agreed. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. will not infringe on privately owned rights. For swabs in saline: OP, NP or anterior nasal swabs may be placed in 1 to 3 mL of sterile saline (0.85 to 0.9%) in a sterile screw cap container. PPA* (versus an FDA-cleared influenza A and B molecular assay) A: 81.5%, B: 80.9%. apply equally to all claims. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. The American Medical Association updated its Current Procedural Terminology set to include updates to coding for tests that detect influenza and . $7,252.00 / Case of 12 PK. that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. FDA) now requires that all Rapid influenza diagnostic tests (RIDTs) achieve 80% or higher sensitivity compared with RT-PCR. Federal government websites often end in .gov or .mil. AMA SPS member Mary K. McCarthy, MD, discusses the activities and efforts of the Committee on Senior Physicians at the Oregon Medical Association. Find an overview of AMA efforts and initiatives to help improv GME. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. an effective method to share Articles that Medicare contractors develop. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or
There are multiple ways to create a PDF of a document that you are currently viewing. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". You can collapse such groups by clicking on the group header to make navigation easier. You are leaving the CMS MCD and are being redirected to the CMS MCD Archive that contains outdated (No Longer In Effect) Local Coverage Determinations and Articles, You are leaving the CMS MCD and are being redirected to, Billing and Coding: Influenza Diagnostic Tests, AMA CPT / ADA CDT / AHA NUBC Copyright Statement, Less sensitive (50%-70%) and specific (90%-95%) compared to other methods and may require confirmation by. Set yourself up for success with tips and tools on choosing a residency program. You are using an out of date browser. CPT code (s): 87804 (x2) Methodology: Optical Immunoassay. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. Complete absence of all Bill Types indicates
Same CPT but these are two different strains and pts should be tested for both. 87636: Infectious agent detection by nucleic acid (DNA or RNA); severe . Instructions for enabling "JavaScript" can be found here. Before sharing sensitive information, make sure you're on a federal government site. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Federal government websites often end in .gov or .mil. To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom
All Rights Reserved. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. Sofia 2 with Advance Result Technology (ART) delivers accurate, objective and automated results in as few as three minutes. Kits may test for influenza A, influenza B, or both and may provide a single result or separate results when testing for both A and B. The scope of this license is determined by the AMA, the copyright holder. Rapid qualitative test that detects Influenza type A and type B antige . presented in the material do not necessarily represent the views of the AHA. The results were evaluated based on PCR ct values. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. If a CLIA-waived test is performed, the -QW modifier should be reported for the waived test. Alternative name (s): Influenza A&B EIA; Rapid Flu; Rapid Influenza. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. The Centers for Medicare & Medicaid Services (CMS) and the American Medical Association have announced the release of several new codes to report testing for Coronavirus (COVID-19). The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare,
An asterisk (*) indicates a
Reporting negatives and combined reporting in 30 minutes. THE UNITED STATES
[COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique 87811 - Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) Special Services, Procedures and Reports CPT code 99072 was created in response to the significant additional practice expenses Title XVIII of the Social Security Act (SSA) 1833(e) prohibits Medicare payment for any claim lacking the necessary documentation to process the claim. I disagree with -91, as the test is not technically being repeated. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. An official website of the United States government.
MODIFIER CODE 09959 MAY BE USED AS AN ALTERNATE TO MODIFIER -59. Henry Schein OneStep+ Ultra Influenza A & B Test. Unless specified in the article, services reported under other
No fee schedules, basic unit, relative values or related listings are included in CPT. The goal of the Reimagining Residency grant program is to transform residency training to best address the workplace needs of our current and future health care system. The AMA does not directly or indirectly practice medicine or dispense medical services. An official website of the United States government. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes,
Chartrand et al, Accuracy of Rapid Influenza Diagnostic Tests A Meta-analysis; Ann-Intern Med. f Zhq,3&,w+0bv ]LL Learn more. Medicare contractors are required to develop and disseminate Articles. RIDTs usually involve inserting a swab into your nostril to get a sample. apply equally to all claims. CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed. CPT code(s): 87635 (HCPCS: U0003. AHA copyrighted materials including the UB‐04 codes and
The suggested*** CPT codes are: Influenza A: 87804 . Instructions for enabling "JavaScript" can be found here. Title XVIII of the Social Security Act (SSA) 1833(e) prohibits Medicare payment for any claim lacking the necessary documentation to process the claim. 2023 Laboratory Corporation of America Holdings. CPT codes . 1. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. The Alinity m Resp-4-Plex assay was validated with nasopharyngeal swabs. This email will be sent from you to the
For Use With (Application) For the detection of Influenza type A and type B nucleoprotein antigens. U0005 will be added at an additional charge consistent with applicable payer requirements), 87804 (x2), 8467. . Rapid and accurate detection of influenza A, influenza B, and respiratory syncytial virus in a single test for nasopharyngeal swab specimens . Waner JL, Todd, SI, Shalaby H, et al. Please visit the. Answers to questions on CPT coding and content are available from the CPT Network. Please visit the. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. If reflex testing is performed, concomitant CPT codes/charges will apply. You need modifer -QW for Medicare patients. While every effort has been made to provide accurate and
Follow manufacturers instructions, including handling of respiratory specimens, as described in the device package insert. Think of the AMA as your ally while preparing for the USMLE and COMLEX-USA. Test code: 11177. . In addition to SARS-CoV-2 and RSV, the Labcorp Seasonal Respiratory Virus RT-PCR DTC Test can detect influenza . Veritor System for Rapid Detection of Flu A + B Product Insert, Table 2 (U.S. Sites) Among hospitalizations, 86.4 percent were . COVID-19/Flu A&B Diagnostic Test. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration
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RIDTs can provide results within approximately 15 minutes. Accessed 4/27/21. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, Information for Clinicians on Rapid Diagnostic Testing for Influenza, VIRUS ISOLATION; TISSUE CULTURE INOCULATION, OBSERVATION, AND PRESUMPTIVE IDENTIFICATION BY CYTOPATHIC EFFECT, VIRUS ISOLATION; TISSUE CULTURE, ADDITIONAL STUDIES OR DEFINITIVE IDENTIFICATION (EG, HEMABSORPTION, NEUTRALIZATION, IMMUNOFLUORESCENCE STAIN), EACH ISOLATE, VIRUS ISOLATION; CENTRIFUGE ENHANCED (SHELL VIAL) TECHNIQUE, INCLUDES IDENTIFICATION WITH IMMUNOFLUORESCENCE STAIN, EACH VIRUS, INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA B VIRUS, INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA A VIRUS, INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY [FIA], IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]), QUALITATIVE OR SEMIQUANTITATIVE; INFLUENZA, A OR B, EACH, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, INCLUDES REVERSE TRANSCRIPTION, WHEN PERFORMED, AND AMPLIFIED PROBE TECHNIQUE, EACH TYPE OR SUBTYPE, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, FOR MULTIPLE TYPES OR SUB-TYPES, INCLUDES MULTIPLEX REVERSE TRANSCRIPTION, WHEN PERFORMED, AND MULTIPLEX AMPLIFIED PROBE TECHNIQUE, FIRST 2 TYPES OR SUB-TYPES, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, FOR MULTIPLE TYPES OR SUB-TYPES, INCLUDES MULTIPLEX REVERSE TRANSCRIPTION, WHEN PERFORMED, AND MULTIPLEX AMPLIFIED PROBE TECHNIQUE, EACH ADDITIONAL INFLUENZA VIRUS TYPE OR SUB-TYPE BEYOND 2 (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL (IE, VISUAL) OBSERVATION; INFLUENZA. tummy tuck tattoos before and after, pressure bleeding brakes tools, how to become a math teacher in california,