Wiki Toradol

[katbell]

I work in a Orthopedic office and when we bill for Toradol either the office visit or the injection code is getting denied. We are not using a modifier 25 on the office visit. Any suggestions for billing?

 

[eadun2000]

Giving an injection is a procedure so you need to add mod 25 on the office visit if it was a separately identifible visit.

 

[Monica Michele]

If you are using the administration code along with the office visit, you will get denied as the administration of a drug is included. You should code the visit and the drug (J-code) only unless documentation supports the separately identifiable service.