Medicaid Payer Case Study

Satisfactory Essays

1. A patient that complains about blood is his stool could use the CLIA waved test called Immunochemical Fecal Occult Blood Test. For the non-Medicare/Medicaid payers the test would be an 82272 CPT code and for the Medicare/Medicaid payers the test would be a Go434QW. Both of those test help detect why there is hidden blood in the stool.

2. A patient that is complaining of sore throat and swollen tonsils for over a week could take a cobas ® Strep A Assay. This test can help diagnosis the detection of Streptococcus pyogenes with a throat swab specimen. This test would be under the 87449QW CPT code. After the swab has been taken, place it in the airtight container that comes with the kit and the test should be done within 20 minutes.

3. Both

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