CPT^® 64653, Under Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Sympathetic Nerves

The Current Procedural Terminology (CPT^®) code 64653 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 areas other than the axillae to treat hyperhidrosis, a condition characterized by abnormally excessive sweating.

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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 ]

Botox CPT question

[b]Botox injections[/b] 64653. 64615 is specifically for migraines.... [ Read More ]

Botox CPT question

We are doing botox for hyperhidrosis on the scalp. Which CPT code do I bill? Do I bill 64615 or 64653 or another code? We do not do buy and bill. We get the botox from the patients specialty pharma... [ 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 ]

Hyperhydrosis

I agree with the other poster. 64614 would not be the correct code in the procedure indicated. Consider 64650 which indicates both axillae and carefully read 64653 as it will guide you to the proper... [ Read More ]

botox/hyperhidrosis

In reviewing this procedure further, 3M takes me to CPT 64999 (for procedure done in hands/ feet). Also, in my CPT book (after 64653) is note that indicates that 64999 should be used for this procedu... [ Read More ]

botox/hyperhidrosis

CPT 64653. One of our physicians has done this procedure for axillae (64650). Kay, CPC, CCS-P... [ Read More ]

HELP!! CPT 64653 and "PER DAY"

[b]64653[/b] I'm not familiar with this at all, but here's the lay description of 64650-64653. It sounds like they do a series of injections, bilaterally, so it should only be billed once per day. Se... [ Read More ]

HELP!! CPT 64653 and "PER DAY"

Can someone please help me out here?? I have a denied claim with CPT code 64653-my provider gave bilateral injections of Botox for a patient who was salivating excessively. Does the "per day" mean y... [ Read More ]

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