Wiki botox injection to hands for hyperhidrosis

[Akulo]

Do I use only CPT 64999 for both hands?

Or

Do I use 64999 line item 1 and 64999-59 on line item 2?

Thanks

 

[pmissall]

pmissall

In my opinion I think it should be 64999 with modifier 50 for bilateral, one line

 

[Akulo]

In my opinion I think it should be 64999 with modifier 50 for bilateral, one line

the 64653 and 64650 has bilateral surgical indicators as "0" under medicare fee schedule look up, so I think that means we wouldn't get paid extra for it if we use that modifier.. I figure 64999 has the same surgical indicator,

 

[CatchTheWind]

We researched this some time back and found that you bill just the 64999 with no modifier for bilateral.