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Ob-Gyn Coding Alert

Ob-Gyn Coding:

How Should I Code Botox Injections Into Pelvic Floor Muscles?

Published on Mon Mar 02, 2026

Question: Hi, I’m working in an ob-gyn practice, and we recently had a patient receive botulinum toxin (Botox) injections into the pelvic floor muscles to treat high-tone pelvic floor dysfunction and pain. The physician documented injections into multiple pelvic floor muscles but stated this is not a trigger point injection. I’ve seen references suggesting CPT® codes 52287 (for bladder), 64646 [...]
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