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E&M for Prescription renewal w/unplan Toradol

  1. Question E&M for Prescription renewal w/unplan Toradol
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    Looking for some opinions, as the more I think about this the more I confuse myself.....

    We have several pts coming in on a monthly basis for evaluation & renewal of their narcotics...occassionally they are complaining about increased pain in the body area for which the prescription was written, and it is decided to administer a Toradol Inj for relief....

    Can we append the 25 modifier to the E&M?? At first I thought we could as the injection was an afterthought and not what we were seeing the pt for on the DOS (prescription renewal)...but now I am second guessing myself as it is for the related condition, even though I know you do not need a differing Dx.

    Any other thoughts on this would be appreciated to clear my mind...


    PSS: I did find other threads related...but still would like opinions. Thanks.
    Last edited by g.fairchild; 02-19-2010 at 10:04 AM. Reason: PSS

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