The CDC says some rapid flu tests are only 50-70% accurate Doctors of the Baylor University Medical Center in Dallas aren't solely on tests but are also keeping an eye on patient symptoms. THE UNITED STATES Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration DISTINCT PROCEDURAL SERVICE: UNDER CERTAIN CIRCUMSTANCES, THE PHYSICIAN MAY NEED TO INDICATE THAT A PROCEDURE OR SERVICE WAS DISTINCT OR INDEPENDENT FROM OTHER SERVICES PERFORMED ON THE SAME DAY. 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". The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. 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. End User License Agreement: CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Collect respiratory tract specimens as early in the illness as possible (within 3-4 days of illness onset). If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Influenza Type A and Type B. Test code: 97636. 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. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. 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. Data for the 2017 to 2018 influenza season indicates that 84.1 percent of positive samples were influenza A, while 15.9 percent were influenza B. The codes are for multi-virus tests that can detect both COVID-19 and other viruses, like the flu. Title XVIII of the Social Security Act (SSA) 1833(e) prohibits Medicare payment for any claim lacking the necessary documentation to process the claim. All Rights Reserved. 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. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Version 2.73 72367-6Influenza virus A+B Ag [Presence] in Nose by Rapid immunoassayActive Term Description This test is intended to encode results for tests which detect but do not differentiate Influenza type A and B viral antigens from nasal swab or nasal wash specimen in 10 minutes or less. Residents and fellows deciding on a practice setting should be armed with all the relevant details. All Rights Reserved (or such other date of publication of CPT). Absence of a Bill Type does not guarantee that the Some older versions have been archived. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. 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; Sometimes, a large group can make scrolling thru a document unwieldy. Improves patient satisfaction. We code 87804 and 87804-59 if both A and B are tested and results documented. Submit one specimen per test requested. All rights reserved. (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected: $142.63 . #7. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. 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. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, Qty Check Availability. End User Point and Click Amendment: Most RIDTs are immunoassays that utilize antibodies against the nucleoproteins of influenza A and B viruses to detect viral antigens. 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. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Before sharing sensitive information, make sure you're on a federal government site. No fee schedules, basic unit, relative values or related listings are included in CPT. 7500 Security Boulevard, Baltimore, MD 21244. If you would like to extend your session, you may select the Continue Button. In addition to SARS-CoV-2 and RSV, the Labcorp Seasonal Respiratory Virus RT-PCR DTC Test can detect influenza . Some articles contain a large number of codes. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. Council on Long Range Planning & Development, What doctors wish patients knew about long COVID-19 brain fog, Why Minnesota changed key query to promote physician well-being, Want to switch residency programs? For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. registered for member area and forum access. The Solution. The views and/or positions presented in the material do not necessarily represent the views of the AHA. Some older versions have been archived. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES The physician makes the determination to run both influenza A and B tests and a rapid . If a CLIA-waived test is performed, the -QW modifier should be reported for the waived test. Reporting negatives and combined reporting in 30 minutes. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Turnaround Time: Method: Coralville, 8 a.m. - 5 p.m., M-F: 1 - 3 business days: Nucleic . 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. The CPT Editorial Panel also revised CPT codes ranging from 87301 to 87430 by removing . Streamlines laboratory operations. Explore reports on this topic from the Council on Medical Education presented during the AMA Interim and Annual Meetings. Per the office this is a nasal swab. There are multiple ways to create a PDF of a document that you are currently viewing. View return policy. Accessed 4/27/21. The AMA assumes no liability for data contained or not contained herein. required field. Previous video. and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only Draft articles have document IDs that begin with "DA" (e.g., DA12345). CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. The American Medical Association is the physicians powerful ally in patient care. of every MCD page. Article document IDs begin with the letter "A" (e.g., A12345). 2009;13(1):15-18. The CMS.gov Web site currently does not fully support browsers with CPT codes . 2016;54(11):2763-2766. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, FDA officials see it as another step toward diagnostic testing at home for certain viruses. Effective April 3 . without the written consent of the AHA. 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 . October 16, 2020. Shell vials or equivalent multiwell plate cell culture; identification (additional CPT codes/charges will apply) if culture results warrant. ONLY IF NO MORE DESCRIPTIVE MODIFIER IS AVAILABLE, AND THE USE OF MODIFIER -59 BEST EXPLAINS THE CIRCUMSTANCES, SHOULD MODIFIER -59 BE USED. SOFIA Influenza rapid test demonstrated good specificity and low sensitivity compared with a nucleic acid test for influenza A, subtype H3, and for influenza B. SOFIA Influenza A + B test performed well in providing a rapid diagnosis, however, confirmatory molecular testing is recommended for negative test results. CPT code for the rapid flu test. The laboratory has the capacity for a maximum of 8 rapid tests (FABRCV + NCVRPD) every hour. Another option is to use the Download button at the top right of the document view pages (for certain document types). without the written consent of the AHA. Complete absence of all Revenue Codes indicates CPT code (s): 87804 (x2) Methodology: Optical Immunoassay. Molnlycke Exufiber absorption comparison. Negative . Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. Objective: To present our experience regarding the use of a rapid diagnostic test for seasonal influenza A and B. Complete absence of all Revenue Codes indicates Instructions for enabling "JavaScript" can be found here. 87636: Infectious agent detection by nucleic acid (DNA or RNA); severe . The AMA does not directly or indirectly practice medicine or dispense medical services. Draft articles have document IDs that begin with "DA" (e.g., DA12345). Yes, agreed. Complete absence of all Bill Types indicates Applications are available at the American Dental Association web site. All Rights Reserved. and, driving the future of medicine to tackle the biggest challenges in health care. Read the House of Delegates (HOD) speakers' updates for the 2023 Annual HOD Annual Meeting. ID NOW Influenza A & B 2 Product Insert 4. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). Influenza Viruses Detected Influenza A Virus Subtypes Differentiated Other Respiratory Viruses Differentiated Approved Specimens 3 Test Time 4; High, Moderate: BioFire Diagnostics, LLC (Commercially Available) BioFire Respiratory Panel 2.1 (RP2.1) Nucleic Acid Detection: FILMARRAY 2.0 and FILMARRAY TORCH systems: Influenza A, Influenza B: A . Rapid, one-step lateral flow test that differentiates between influenza virus A and B within 15 minutes. CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. All rights reserved. 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; Harmon MW, Kendal AP. 1991; 29(3):479-482. Applicable FARS\DFARS Restrictions Apply to Government Use. If a CLIA-waived test is performed, the -QW modifier should be reported for the waived test. RIDTs usually involve inserting a swab into your nostril to get a sample. Thanks. This Agreement will terminate upon notice if you violate its terms. Specify the exact specimen source/origin (eg, nasopharynx). that coverage is not influenced by Bill Type and the article should be assumed to An asterisk (*) indicates a Influenza A/B and RSV PCR w/ Subtyping. article does not apply to that Bill Type. Enables healthcare providers to quickly deliver targeted therapies. This page displays your requested Article. The Alinity m Resp-4-Plex assay was validated with nasopharyngeal swabs. apply equally to all claims. End User Point and Click Amendment: damages arising out of the use of such information, product, or process. f Zhq,3&,w+0bv ]LL Same CPT but these are two different strains and pts should be tested for both. not endorsed by the AHA or any of its affiliates. AHA copyrighted materials including the UB‐04 codes and and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only Room temperature (15C to 30C/59F to 86F) Internal controls. October 07, 2020 - In response to the COVID-19 pandemic, the American Medical Association (AMA) is adding two new codes to the Current Procedural Terminology (CPT) code set. 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. Consider sending respiratory specimens (from symptomatic patients) for RT-PCR to confirm results of RIDTs, especially in the following situations: When community influenza activity is low and the rapid diagnostic test result is positive. 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. Federal government websites often end in .gov or .mil. Your MCD session is currently set to expire in 5 minutes due to inactivity. 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. "The new CPT code for antigen testing to detect the coronavirus is the latest in a series of CPT codes developed in rapid response to the pandemic," said AMA President Susan R. Bailey, M.D. This culture is for the isolation of influenza A and influenza B, other viral agents will not routinely be detected. Intended for the qualitative detection ofinfluenza type A and type B nucleoproteinantigens directly from nasal andnasopharyngeal swab specimens frompatients with signs and symptoms ofrespiratory infection. Rapid Immunoassay for Direct Detection and . Neither the United States Government nor its employees represent that use of such information, product, or processes CLIA waived; not endorsed by the AHA or any of its affiliates. What is the CMS suggested CPT code and National Limit for the Sofia Influenza A+B FIA? 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. "JavaScript" disabled. The document is broken into multiple sections. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. To avoid the overuse of antibiotics and the potential risk of antibiotic resistance, point of care providers should consider testing patients prior to prescribing treatment for a bacterial or influenza infection. Accessed 4/27/21. ONLY IF NO MORE DESCRIPTIVE MODIFIER IS AVAILABLE, AND THE USE OF MODIFIER -59 BEST EXPLAINS THE CIRCUMSTANCES, SHOULD MODIFIER -59 BE USED. Positive and negative included. 5 things you should know. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. 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. Throat or nasopharyngeal (NP) swab or wash, sputum, bronchial washings, bronchoalveolar lavage (BAL). However, please note that once a group is collapsed, the browser Find function will not find codes in that group. CMS and its products and services are not endorsed by the AHA or any of its affiliates. Accurate and reliable detection of Flu A and Flu B in as soon as 20 minutes*. When Medicare patients are being tested via rapid testing for influenza the sites are billing 87804 influenza A AND 87804 influenza B. Article document IDs begin with the letter "A" (e.g., A12345). descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. Find information about the summary of panel actions, a document prepared after each meeting of the CPT editorial panel. 87811 Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. The American Medical Association today released for immediate use Current Procedural Terminology codes for reporting on medical claims two laboratory tests (87636 and 87637) that simultaneously detect the COVID-19 virus, influenza A/B and respiratory syncytial virus. Accessed 4/27/21. . The AMA promotes the art and science of medicine and the betterment of public health. This page displays your requested Article. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). The page could not be loaded. iPhone or The new additions and revisions to the CPT code set have been approved for immediate use. Also, you can decide how often you want to get updates. New aspects of influenza viruses. Description. Rapid influenza diagnostic tests (RIDTs) are immunoassays that can identify the presence of influenza A and B viral nucleoprotein antigens in respiratory specimens, and display the result in a qualitative way (positive vs. negative) (1). 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. DISCLOSED HEREIN. Information for Clinicians on Rapid Diagnostic Testing for Influenza. The revision clarifies the proper reporting for antigen tests that are read by a machine, as compared to those which can be visually interpreted without a machine. If a rapid antigen test is performed and then confirmed using PCR, the second test may require the -59 modifier. CONTENTS: 25 Test Cassettes, 25 Sterile Swabs, 25 Extraction Reagent Capsules, 1 Positive Control Swab, 1 Negative Control Swab, 1 Procedure Card, 1 Instructions for Use. Henry Schein OneStep+ Ultra Influenza A & B Test. Sometimes, a large group can make scrolling thru a document unwieldy. Applicable FARS/HHSARS apply. For rapid differential diagnosis of acute influenza A and influenza B viral infections. As long as your test in the office checks for both the A and B strains, you can bill for two tests (CPT 87804 and add modifier 59 to the second test as the previous reply mentions). Title XVIII of the Social Security Act (SSA) 1833(e) prohibits Medicare payment for any claim lacking the necessary documentation to process the claim. During the exam, the physician observes swollen and red tonsils. 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. You can use the Contents side panel to help navigate the various sections. The May 2009 issue of CPT Assistant provided some guidance regarding this in the article, "Coding Brief: Rapid Influenza Virus A and B Testing (Code 87804)." The coding brief noted that direct optical observation "is a testing platform that yields a typi- No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be CPT Code. Find an overview of AMA efforts and initiatives to help improv GME. . used to report this service. The Sofia Influenza A+B FIA has been shown to detect cultured human isolates of H5N1; as with other rapid tests for influenza, the ability of the Sofia . that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. 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. You can use the Contents side panel to help navigate the various sections. Applicable FARS/HHSARS apply. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). 343 0 obj <>/Filter/FlateDecode/ID[<37EF32E039E8174080E7FA357BB6EB41>]/Index[323 30]/Info 322 0 R/Length 103/Prev 193612/Root 324 0 R/Size 353/Type/XRef/W[1 3 1]>>stream To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom required field. Some minor issues are listed as follows. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. 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. If a rapid antigen test is performed and then confirmed using PCR, the second test may require the -59 modifier. 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). Follow manufacturers instructions, including handling of respiratory specimens, as described in the device package insert. End Users do not act for or on behalf of the CMS. 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. influenza B virus Influenza 87276 Infectious agent antigen detection by immunofluorescent technique; influenza A virus Influenza . 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. But AI can play a positive role in medical education. 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. of the Medicare program. CMS believes that the Internet is Supplier: Quidel 20218. hb```G@(p+PjHQTWO:-:Tp20Wi! 7500 Security Boulevard, Baltimore, MD 21244. (CPT) code(s) information for each test or profile. End Users do not act for or on behalf of the CMS. . Similarly, tests (and CPT codes) for which there are no accompanying ICD-10 codes in the associated Billing and Coding Article will require registration with MolDX . Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. 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. The AMA does not directly or indirectly practice medicine or dispense medical services. Revenue Codes are equally subject to this coverage determination. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. Phetcharakupt V, Pasomsub E, Kiertiburanakul S. Clinical manifestations of influenza and performance of rapid influenza diagnostic test: A university hospital setting. Learn more with the AMA. THIS MAY REPRESENT A DIFFERENT SESSION OR PATIENT ENCOUNTER, DIFFERENT PROCEDURE OR SURGERY, DIFFERNET SITE OR ORGAN SYSTEM, SEPARATE INCISION/EXCISION, SEPARATE LESION, OR SEPARATE INJURY (OR AREA OF INJURY IN EXTENSIVE INJURIES) NOT ORDINARILY ENCOUNTERED OR PERFORMED ON THE SAME DAY BY THE SAME PHYSICIAN. will not infringe on privately owned rights. Performed: Avg. There are multiple ways to create a PDF of a document that you are currently viewing. 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.