CPT^® 64642, Under Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64642 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 injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms.

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95874

Same scenario, My physician did a procedure where he injected Botox into1 extremities under EMG guidance. Mr question is do i need to add any modifier for this procedures. 64642 95874. Please help me... [ 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 ]

95874

I am billing 95874 with 64642 x 1 and 64643 x 2.... [ Read More ]

Pelvic floor Botox injections

I read the only feed I could find on this subject and the suggestion was to call the drug company, which I did, but they had no idea which code to use. My provider wants to start using Botox for trigg... [ Read More ]

Billing Medicare for NP services in an outpatient rehab hospital botox incident to medicare nurse practitioner place of service 22

I have run into a situation with a NP doing Botox injections for spasticity in POS 22. First, am I right in thinking that it is not appropriate to bill Medicare incident to in POS 22 even if there is ... [ 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 ]

Chemodenervation - medial and lateral

[QUOTE="mhstrauss, post: 384800, member: 127551"]Yes, but if other muscles are also injected, the 1 vs 2 issue for the gastroc count could make the difference between choosing 64642 vs 64644. [/QUOTE]... [ Read More ]

Chemodenervation - medial and lateral

[QUOTE="CodingKing, post: 384791, member: 323638"]Would this fall under 64642 - Chemodenervation of an extremity? That code is for 1-4 muscles.[/QUOTE] Yes, but if other muscles are also injected, th... [ Read More ]

Chemodenervation - medial and lateral

Would this fall under 64642 - Chemodenervation of an extremity? That code is for 1-4 muscles.... [ Read More ]

medicare botox billing

I have recently changed jobs and am working for an outpatient physiatry office. They have begun to give Botox injection. Our outpatient office is in a rehab hospital that is use to charging for the ... [ Read More ]

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