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Thread: Toradol

  1. #1

    Default Toradol

    AAPC: Back to School
    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?

  2. #2


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

  3. #3
    Join Date
    Apr 2007
    Nashville, TN


    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.
    Monica M. Watson, RHIT, CPC, CCS, CCS-P, CPMA, CIC, CRC

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