tci Medicare Compliance & Reimbursement - 2008 Issue 16

Reader Question: Track Botulinum Wastage For Accurate Coding

Splitting vials? Bill the exact units given each subject Question: We often perform botulinum toxin injections to treat spasm disorders. Can I bill for botulinum wastage? Answer: Yes, you can typically bill for botulinum toxin waste. You have to be sure to document the amount that the provider wasted so that you account for every unit. If you split the vials between patients, bill for the exact units given per subject. If your provider has "leftover" after the last patient you treat, then you should document the number of units that had to be wasted or discarded on the...

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