CPT^® 64616, Under Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64616 as maintained by American Medical Association, is a medical procedural code under the range - Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves.

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Summary

The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical dystonia (a sustained contraction of the neck muscles) or spasmodic torticollis (a painful, sustained contraction of neck muscles that causes the neck and head to involuntarily twist to one side and/or up or down).

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Diagnostic Occipital Nerve Block followed by Botox (Xeomin) to Trapezius on the same visit

Can I bill for the physician performing a diagnostic nerve block and then (64616) inject botox (Xeomin) to the trapezius muscles? Most of our patients are Medicare and we are Outpatient Hospital, Loca... [ Read More ]

botox inj for cervical dystonia and headache

botox injections 64616 and 64615 if my provider is injecting the neck B/L (64616 for cervical dystonia, and also injects a couple places in the head for headache ( temporal , corrugator) would there ... [ Read More ]

Admin code for botox

I have a provider who injects botox b/l for cervical dystonia (64616) but also they injected into the head as well b/l for the headache being caused from the cervical dystonia. IS there a separate cp... [ Read More ]

Botox Injection- Migraine

[b]CMS has LCD (34635) for Botox treatments[/b] HARTXUS wrote: "We billed 64615 and payer came back with not deemed medical necessity. Any advice how to tackle this?" You will need to find the Dx co... [ Read More ]

Charging for Botox Needle

We do Botox for Dysphonia in the Office (64616 and R49.0). The provider is charging the patients for the Needle used to Administer the Botox. I have told him the Needle is included however he is adama... [ Read More ]

64615 vs 64616

There is a CCI Edit that prevents 64615 and 64616 to be billed together. Based on the RVU I would only bill 64615 as it has a higher RVU(4.21) than compared to 64616(RVU 3.74)... [ Read More ]

64615 vs 64616 64615 64616 botox migraine

Hello all!! Can anyone provide insight regarding botox injections for migraines. My physician injects bilateral muscles of the corrugator, frantalis, trapezius, splenius capitits, splenius cervicis, ... [ Read More ]

Botox injections for treatment of cervical dystonia and upper head pain

[QUOTE="sarab86, post: 424870, member: 238467"]I would use 64616-50. Maybe show your provider the CPT description of 64612 and they can explain if that applies for the upper head pain. I would not use... [ Read More ]

Botox injections for treatment of cervical dystonia and upper head pain

I would use 64616-50. Maybe show your provider the CPT description of 64612 and they can explain if that applies for the upper head pain. I would not use 64615 as that is only for Migraines.... [ Read More ]

Botox injections for treatment of cervical dystonia and upper head pain

One of our providers that administers botox performed the following injections for treatment of cervical dystonia and upper head pain: Documentation: "Ms. Fortier is a 68 y.o. female who presents for... [ Read More ]

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