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IM Injection coding

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 ?

Thanks

Sheila

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.

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