Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

botox injection

Joseph Posted Mon 17th of September, 2012 16:16:12 PM

can a 64450 and a 64640 be billed together with J0585 and a4206 which is what EMR is showing for botox injection into knee?

Joseph Posted Mon 17th of September, 2012 16:26:54 PM

can a 64450 and a 64640 be billed together with J0585 and A4206 which is what EMR is showing for botox injection into knee?

SuperCoder Answered Mon 17th of September, 2012 17:47:04 PM

You may report 64640 (Destruction by neurolytic agent; other peripheral nerve or branch) for Botox injections in some circumstances, but you cannot choose this code simply because it provides higher reimbursement. You should always choose the most accurate code for a given situation, regardless of payment.

Report 64640 for peripheral or branch nerve destruction by injections not described by codes 64612-64614. Whichever code you choose, be sure to link the procedure code to an approved diagnosis(es) to justify payment.

Nerve destruction as described by 64640 is not limited to Botox injections, but can include other substances, such as phenol.

64450 can never be reported with 64640 in any circumstances as CCI edits does not allow it.

Related Topics