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Neurology & Pain Management Coding Alert

CPT® 2013:

Don't Miss the Updated Chemodenervation Codes -- Including One for Migraine Treatment

Published on Mon Sep 24, 2012

Plus: Many E/M and some pain pump codes cover more providers now.The American Medical Association (AMA) has released information on CPT® code changes for 2013, including two revisions and an addition to your chemodenervation options. Be Confident With Reporting Multiple 64612sCPT® 2013 clarifies longstanding questions from coders and pain management specialists regarding 64612 usage. The code describes chemodenervation of muscles innervated by the facial nerve to treat conditions such as blepharospams (333.81, Other extrapyramidal disease and abnormal movement disorders; blepharospasm) or hemifacial spasm (351.0, Facial nerve disorders; Bell's palsy). Opinions have varied regarding whether you can legitimately report 64612 multiple times if the physician performs chemodenervation on the facial nerve (cranial nerve VII) during the same encounter. The Medicare Physician Fee Schedule (MPFS) lists 64612 as a code that allows bilateral reporting, but the revised descriptor for 2013 puts the question to rest: 64612 (Chemodenervation of muscle[s]; muscle[s] innervated by [...]
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