Rapid Flu Test

As of April 1, 2008, Scott & White Health Plan (SWHP) began to provide coverage for the Rapid Flu Test, CPT code 87804, for children ages 0 through 5 and SeniorCare members and according to the member’s contracted benefits. Reimbursement for this test will be made according to the provider’s current fee schedule.

Based on a recent study, the sensitivity of the rapid flu test is highest for people between the ages of 0 – 5 and dramatically decreases for those beyond the age of 5.⁽¹⁾

⁽¹⁾Fader, Robert C. 2005. Comparison of the Binax NOW Flu A Enzyme Immunochromatographic Assay and R-Mix Shell Vial Culture for the 2003-2004 Influenza Season. J. Clin. Microbiol. Dec 2005, 6133-6135.

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