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Old 01-06-2009, 01:24 AM
cdcpc cdcpc is offline
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Default Botox billing advice needed!
Hello!
I work for a family physician who is interested in doing cosmetic Botox injections. I know to use code J0585 for the Botox, but what code should be used for the administration? 90772? 90471 (since it's technically a toxin)?
Any advice would be appreciated
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Old 01-06-2009, 02:36 AM
beckyz beckyz is offline
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Default Botox
Are you also going to be billing the chemodenervation codes? If so, the administration of the botox is included in the procedure code.

Becky
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Old 01-06-2009, 02:43 AM
Lliza71 Lliza71 is offline
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Default cosmetic botox
Hi cdcpc,
I don't believe you should use either. 90471 is strictly for immunizations. 90772 is used for therapeutic, prophylactic, or diagnostic, which are not the cases either. I think you would use 11950 - 11954. These are just introduction codes. If you're only doing it for cosmetic, you wouldn't be doing any chemodenervations, diagnosing, or any kind of therapies. I'm no expert, but I would use them., Hope this helps.
Liza
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Old 01-06-2009, 02:49 AM
cdcpc cdcpc is offline
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Quote:
Originally Posted by beckyz View Post
Are you also going to be billing the chemodenervation codes? If so, the administration of the botox is included in the procedure code.

Becky
Becky,
No--we wouldn't be doing chemodenervation codes. This is a strictly cosmetic procedure.
Thank you!
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Old 01-06-2009, 06:56 PM
TMHales TMHales is offline
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Default Cosmetic Botox
We use 64612 for injection of botox into the forehead.

Tina
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Old 01-06-2009, 07:50 PM
magnolia1 magnolia1 is offline
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O.K., maybe I'm missing something here..........
If these are strictly "cosmetic", why are they being coded?

If there is an insurance carrier out there who pays for this, please let me know!
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Old 01-06-2009, 11:49 PM
cdcpc cdcpc is offline
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Quote:
Originally Posted by Lliza71 View Post
Hi cdcpc,
I don't believe you should use either. 90471 is strictly for immunizations. 90772 is used for therapeutic, prophylactic, or diagnostic, which are not the cases either. I think you would use 11950 - 11954. These are just introduction codes. If you're only doing it for cosmetic, you wouldn't be doing any chemodenervations, diagnosing, or any kind of therapies. I'm no expert, but I would use them., Hope this helps.
Liza
Liza,
That makes a lot of sense. I think 11950-11954 would fit the situation better. Thanks for the help
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Old 01-06-2009, 11:54 PM
cdcpc cdcpc is offline
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Quote:
Originally Posted by magnolia1 View Post
O.K., maybe I'm missing something here..........
If these are strictly "cosmetic", why are they being coded?

If there is an insurance carrier out there who pays for this, please let me know!
Karen,
These will be coded just for tracking purposes--they will not be submitted to insurance companies. Being a coder, I like finding the right code for everything! I doubt any insurance would pay for cosmetic Botox injections. Do you have any suggestions on how to bill for the administration?
Thanks
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Last edited by cdcpc; 01-06-2009 at 11:58 PM. Reason: spelling
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Old 01-07-2009, 06:11 PM
TMHales TMHales is offline
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Default Botox
We use 11950-11954 for injection of filling material (Collagen-Restylan Juvederm).

Tina
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Old 01-08-2009, 02:04 AM
magnolia1 magnolia1 is offline
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Carrie,

Just trying to "inject" some humor here.

Like you, I truly doubt any insurance carrier would pay for this procedure.
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