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Neurology & Pain Management Coding Alert

Reader Questions:

Botulinum: Bill Site, Not Injections

Published on Fri Jun 26, 2009

Question: Should I be billing CPT 96372 (Therapeutic, prophylactic, or diagnostic injection [specify substance or drug]; subcutaneous or intramuscular) in addition to a procedure code and J code for botulinum injections? If my physician performs 12 injections within one site, should I bill 96372 with 12 units? Ohio Subscriber Answer: When you bill botulinum toxin injections, select the chemodenervation code(s) for the anatomic site(s) injected no matter how many injections are given in the site(s). In other words, bill based on the site, rather than the number of injections. Then include either J0585 (Botulinum toxin type A, per unit) or J0587 (Botulinum toxin type B, per 100 units) for the total number units injected and wasted. Skip 96372. Instead of billing the injections with 96372, use the CPT codes already designed to cover these procedures:  " 64612 -- Chemodenervation of muscle(s); muscle(s) innervated by facial nerve (e.g., for blepharospasm, hemifacial [...]
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