We do Botox injections in our office and the physician will instill the bladder with Lidocaine prior. We were advised that we could bill the 52287 and also 51700 for the anesthetic part. Reading further information it looks like the 51700 should be part of the Botox procedure, anyone else have experience with this. Thank you.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Bladder Botox and billing for the lidocaine
- Thread starter almag69
- Start date
t_ferg07@yahoo.com
Contributor
For Medicare patients, 53899 is the procedure code we were asked to use. Lidocaine would not be reimbursed separately, since it's incidental to the primary procedure.
Hope that helps!
Hope that helps!
nateich
Guru
The Lidocaine would be incidental to the Botox; I would not recommend using an unlisted code when there is an appropriate CPT code for Botox injections, 52287.
t_ferg07@yahoo.com
Contributor
I'm so glad you mentioned that!! I completely forgot they made a new code for this!! We haven't seen that patient since the code came out!! SORRY!!
nateich
Guru
No problem; that's why the forum is here and so great...never stop learning! 
nateich
Guru
The best reference I can give is: CPT surgery guidelines (page 62) in AMA CPT book, CPT Surgical Package Definition includes "Local infiltration, metacarpal/metatarsal/digital block or topical anesthesia"