Wiki CPT for Botox for hyperhidrosis

[BrandieB]

I am having trouble trying to figure out what CPT codes to use for botox injections for Hyperhidrosis in our patients. I know the HCPCS code is
J0585. But the question is do I use
64614-chemical denervation of muscles, extremity(s) and/or truck muscle(s)
or
64650-chemical denervation of eccrine glands

Keep in mind this is for excessive sweating....Please help. what are other dermatologist using??
thanks!

 

[Herbie Lorona]

64650 - "The physician uses a chemical to destroy the nerves of some of the sweat glands under both arms. This treatment is commonly used to treat excessive sweating."