vrf19977@aol.com
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Hello! I'm a new coder (been working about 2.5 months), so please be patient in your replies, and dumb it down if you can, as I'm still learning all the lingo and verbiage of coding!
I work for neurology, and we frequently end up giving Toradol injections for pain. My question is whether this would warrant using the 25 modifier on the E&M codes. My understanding of the whole gist of "is this a significant and separately identifiable service" is to ask ourselves "did the provider plan or expect to perform this service before going into the exam room?" In the cases of these injections, it's almost always no. Which leads me to think that the 25 modifier is justified.
Thoughts?
I work for neurology, and we frequently end up giving Toradol injections for pain. My question is whether this would warrant using the 25 modifier on the E&M codes. My understanding of the whole gist of "is this a significant and separately identifiable service" is to ask ourselves "did the provider plan or expect to perform this service before going into the exam room?" In the cases of these injections, it's almost always no. Which leads me to think that the 25 modifier is justified.
Thoughts?