I have never code a Botox injection to the bladder w/ cystoscopy. I feel confident that I need to code 52287. My question is on the injection area. Would I only code 52287 with J0585. Does the 52287 cover the injection? I am use to coding PCP's in office. I know this is a little vague.
-
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 Botox for Bladder
- Thread starter Babsss
- Start date
The description for this code (Cystourethroscopy, with injection(s) for chemodenervation of the bladder ) leaves little doubt that the injection is included in the procedure without having to bill a separate code. See the link below for the billing sheet right from Allergan, the makers of Botox, on correct billing based on the place of service. I will not that you should only bill for the J code if you are the one purchasing the medication. Hope this helps!
https://www.botoxreimbursement.us/Resources/NDO_New_CPT_Code.pdf
https://www.botoxreimbursement.us/Resources/NDO_New_CPT_Code.pdf
Thanks for the response. I really appreciate the help. I held on to this one hoping for some advise. 