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Botox

E. maria Posted Fri 15th of January, 2016 02:41:26 AM

Patient undergoes procedure 46505 with Botox. I have not been able to find the Medicare fee schedule for the medication Botox J0585. Also, what is the proper way to bill for the Botox?

SuperCoder Answered Mon 18th of January, 2016 07:28:16 AM

The Medicare fee schedule for 1 unit of Botox type A J0585 is $5.72.

When the patient is injected with Botox type A, report J0585 (Botulinum toxin type A, per unit). If the patient is injected Botox type B, report J0587 (Botulinum toxin type B, per 100 units).

Use caution: The Food and Drug Administration approves of two botulinum types or serotypes, so you should keep the types separate for billing purposes. Specifically, J0587 (Botulinum toxin type B, per 100 units), a drug trade-named Myobloc, is not the same as Botox, or botulinum toxin type A. Do not use J0585 and J0587 interchangeably.

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