Sheila Posted Mon 27th of December, 2010 23:32:46 PM
IM injection of therapeutic Toradol administered in the office billed using code 20550 was denied by Medicare. Should this have been coded as 96372 ? or another code ? If a 99215 visit also done at the same time, shd a modifier be used ?
SuperCoder Answered Tue 28th of December, 2010 05:58:33 AM
Bill the administration with 96372 and for the drug go a J1885. If the reason of visit was only for drug administration then you cannot code a E/M separately. E/M can be billed if a separate diagnosis is present.