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When Medicare pays for the H1N1 test


Medicare will cover an H1N1 test if it is not covered by a state or local health department.

Q: Patients are asking us for the H1N1 test. Is this covered by Medicare?

The following diagnosis codes could apply:
V01.8: contact with or exposure to other communicable diseases
V72.6: special investigations and examinations, laboratory examination
V73.0–V82.9: special screening examinations performed
V70.5–V70.7: general screening examination of defined population groups
V20.2: routine examination of infant or child
V71.0–V71.9: suspected disorder
V01.XX series: contact with or exposure to
V02.XX series: carrier or suspected carrier
V02.6X series: carrier or suspected carrier of infectious diseases, viral hepatitis
V71.XX series: observation and evaluation for suspected condition, not found
V71.8X series: observation and evaluation for suspected conditions, not found; observation and evaluation for other suspected conditions
V87.XX series: other specified personal exposures and history presenting hazards to health, contact with, and suspected exposure to.

The author is a compliance manager for Baptist Medical Associates in Louisville, Kentucky. Have a coding or managed care question for our experts? Send it to meletters@advanstar.com

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