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Botox Injection Right and Left Limb question

Luz Posted Tue 23rd of February, 2016 16:39:47 PM

How would I bill, Botox injection to:
Left leg _ Tibialis posterior 10 Unit, Gastrocnemius/soleus medial and lateral 20u, Hamstring medial and lateral 20U, abductor 20u.
Right Leg_ Gastrocnemius/soleus medial and lateral 20u, Hamstring medial and lateral 20u, Hamstring medial and lateral 20U, abductor 20u.
Done with nerve stimulator- 95873 x2?
64644 and 64645- Left Leg
64644 and 64645- Right Leg
J0585x130

SuperCoder Answered Wed 24th of February, 2016 02:55:39 AM

Hi,
Appropriate codes would be:
95873 Report only a single unit of guidance, regardless of the number of injections performed.
64644 Chemodenervation of one extremity; 5 or more muscle(s)
64645 Chemodenervation of each additional extremity, 5 or more muscle(s) (List separately in addition to code for primary procedure)
J0585x130

Codes 64644 and 64645 would not be used twice for both legs as 64645 is add-on code for each additional extremity.

Thanks!

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