Neurology & Pain Management Coding Alert

You Be the Coder:

Reporting 64642 and 64615 Together

Question: I have a patient who suffers from migraines and receives treatment with Botox. I’ve been billing 64615/J0585 with no problem. This patient has now suffered a stroke and has related spasticity of an upper limb which requires treatment with Botox as well. The CPT® guidelines for 64615 specifically state that you cannot report this code in conjunction with 64642. [...]
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