tci Part B Insider - 2009 Issue 11

READER QUESTION: Mind This Year's CPT Deletions for Accurate Botox Coding

Tip: Report chemodenervation guidance once per day, not per injection or injection site. Question: What is the correct way to report Botulinum toxin injections? Answer: For Botulinum toxin injections into facial muscles, use 64612 (Chemodenervation of muscle[s]; muscle[s] innervated by facial nerve [e.g., for blepharospasm, hemifacial spasm]). For injections to the cervical spine muscles, use 64613 (...neck muscle[s] [e.g.,for spasmodic torticollis, spasmodic dysphonia]). For extremity or trunk muscles, use 64614 (... extremity[s] and/or trunk muscle[s] [e.g., for dystonia, cerebral palsy, multiple sclerosis]). Per the AMA, chemodenervation coding should be reported with a maximum of...

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