Wiki Billing Botox for Migraines

Create Wiki
C

cronicizo

Guest
Messages
17
Location
Belvedere, California
Best answers
0
I've trying the find the answer to the question do you charge for each injection site? or Per each area injected. For example if a patient had 2 injections in the Corrugator muscles would you charge for the 2 injections or for the 1 area being the Corrugator? I know you bill one code for the area and then you bill for the units of botox used but in terms of pricing the procedure is it by site or area?:confused:
 
You would charge for the one site, 64612 no matter how many injections were supplied. Carefully read the code descriptor and that might help you, For example, If during the visit the doctor also injected the procerus and frontalis these would also be included in the submission of the same 64612 code. CPT Assistant has an official ruling on this. ---Suzanne E. Byrum CPC
 
This is true, can be a little murky and create a lot of administrative work depending on whether or not they follow MCR guidelines or that of AMA. Still have not resolved the issues fully regarding this issue. Hopefully others might comment .....
---Suzanne
 
You must log in or register to reply here.
Top