Reader Question:
Chemodenervation and Botox
Published on Fri Mar 01, 2002
Question: What are the current chemodenervation codes for billing Botox injections? Should I bill for the Botox?
Oklahoma Subscriber
Answer: The correct code depends on the anatomic site of the muscle group. There are four possible codes:
64612 Chemodenervation of muscle(s); muscle(s) innervated by facial nerve (e.g., for blepharospasm, hemifacial spasm)
64613 cervical spinal muscle(s) (e.g., for spasmodic torticollis)
64614 extremity(s) and/or trunk muscle(s) (e.g., for dystonia, cerebral palsy, multiple sclerosis)
67345 Chemodenervation of extraocular muscle.
Bill for the Botox with J0585 (Botulinum toxin type A, per unit).