Advanced Search

Neurology & Pain Management Coding Alert

You Be the Coder:

Focus on the Right Number in Botulinum Toxin Coding

Published on Fri Apr 27, 2012

Question: Our physician is using Botulinum toxin to treat torticollis by injecting in multiple muscles. How do we report this? Alaska Subscriber Answer: You report code 64613 (Chemodenervation of muscle[s]; neck muscle[s] [eg, for spasmodic torticollis, spasmodic dysphonia]) for the injection of Botulinum toxin. You may look at what side of the neck your physician is treating and append modifiers RT (Right side) or LT (Left side) accordingly. Look in specific what Botulinum toxin was used by your physician and accordingly report J0585 (Injection, OnabotulinumtoxinA, 1 unit) for Botox, J0586 (Injection, AbobotulinumtoxinA, 5 units) for Dysport, J0587 (Injection, rimabotulinumtoxinB, 100 units) for Myobloc or J0588 (Injection, IncobotulinumtoxinA, 1 unit) for Xeomin.You see that the codes for Botulinum toxin have includes different quantity of units in the descriptors. You should your physician's documentation to identify the total amount of Botulinum toxin injected and appropriately calculate the number of units of the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Neurology & Pain Management Coding Alert

View All