CPT^® 64650, Under Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Sympathetic Nerves

The Current Procedural Terminology (CPT^®) code 64650 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 Sympathetic Nerves.

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Summary

In this procedure, the provider administers a chemical compound to the eccrine glands in both axillae, or armpits, to treat hyperhidrosis, a condition characterized by abnormally excessive sweating.

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Have a question about CPT Code 64650 ? Start a discussion here

Advice on reporting Hyperhidrosis (botox).

[QUOTE="nickelclaw, post: 509438, member: 256517"] 64650 When the patient is appropriately prepped, the provider first identifies the area of involvement using a test called a starch iodine test. In t... [ Read More ]

Advice on reporting Hyperhidrosis (botox).

64650 When the patient is appropriately prepped, the provider first identifies the area of involvement using a test called a starch iodine test. In this test, the provider applies iodine solution to t... [ Read More ]

botox/hyperhidrosis

Does anyone know if we need to add a modifier to either 64999 or 64650 when billed at the same time. We did botox injections for hyperhidrosis hand and feet as well as axilla on the same date of servi... [ Read More ]

Botox Injection

Anyone's office do Botox injections for Hidradeniti Suppurativia? If the patient's specialty pharmacy pays (and sends the medication to the office) what codes do you bill for doing the injection? Do y... [ Read More ]

Hyperhidrosis - Billing for Botox dermatology

We treated a patient with hyperhidrosis with Botox and billed Aetna cpt codes 64650 & 64653 which were paid. we also billed J0585 @ 200 units which Aetna ultimately denied. The patients plan requires ... [ Read More ]

Fluroscopy Guidance with CPT 64650 or 64450

In the CPT book under 77002 and 77003 there is a list of codes that you can use in conjunction with 77002 and 77003. My understanding is that you can only use 77002 and 77003 with those codes that are... [ Read More ]

Fluroscopy Guidance with CPT 64650 or 64450

Question Fluroscopy Guidance with CPT 64650 or 64450 Medical Coding Books Our Providers are asking if they can bill 64650 with 77002 - according to AAPC coder 77002 is an add on code and cannot... [ Read More ]

Fluroscopy Guidance with CPT 64650 or 64450

Our Providers are asking if they can bill 64650 with 77002 - according to AAPC coder 77002 is an add on code and cannot be billed with 64650. Also they are asking if they can bill 64450 with 77003 aga... [ Read More ]

botox injection to hands for hyperhidrosis

[QUOTE="pmissall, post: 333937, member: 172795"]In my opinion I think it should be 64999 with modifier 50 for bilateral, one line[/QUOTE] the 64653 and 64650 has bilateral surgical indicators as "0" ... [ Read More ]

64640 vs. 64650--Help!

Thank you! Can you tell me your source from which you quoted the nerves referred to by 64640? My CPT book just shows 64640 under Somatic nerves and 64650 under Sympathetic nerves. And I am definite... [ Read More ]

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