botox

  1. R

    Wiki Botox Injection

    We have a new patient that will be getting Botox injections in her scalp for hyperhidrosis. She has had these injections at another Dermatology office. The CPT code we would use is 64653 since it's located on the scalp. The only ICD-10 code that would fall under scalp would be L74.519 which...
  2. M

    Wiki Drug waste & -JW mod

    If a physician injects 6 units of a 100 unit single use Botox vial for Clonic hemifacial spasm, does 94 units have to be reported as waste with the modifier JW? Do all insurances pay the waste? Thanks in advance!
    • MYAEKEL
    • Thread
    • botox botox injection drug administration drug units drug waste modifier jw waste
    • Replies: 10
    • Forum: Billing/Reimbursement
  3. R

    Wiki botox with 64615

    I am billing for a physician that performed 64615 with botox. the botox was supplied by a specialty pharmacy. physician wants to drop 64615 and the J code (j0585). to my understanding if medication was not supplied by the office and instead a pharmacy we cannot bill for j code. If anyone can...
  4. C

    Wiki 64615 vs 64616

    Hello all!! Can anyone provide insight regarding botox injections for migraines. My physician injects bilateral muscles of the corrugator, frantalis, trapezius, splenius capitits, splenius cervicis, semispinalis capitus, procerus and masseter. Depending on the patient the diagnosis is either...
  5. J

    Wiki Billing Medicare for NP services in an outpatient rehab hospital

    I have run into a situation with a NP doing Botox injections for spasticity in POS 22. First, am I right in thinking that it is not appropriate to bill Medicare incident to in POS 22 even if there is a supervising physician? Right now we are billing using just the NP NPI and CPT code 64642 is...
  6. J

    Wiki Billing Wastage on Single-Use Vials when JW is not recognized

    I work with several neuro practices and ran into a situation with a third party biller in Rhode Island billing for Botox. This particular payer does not recognize the JW modifier. The provider injected 155 units for chronic migraine and discarded 45 units. I advised the billing company that they...
  7. candyjl78

    Wiki Botox Injections and Waste (Remaining given to another provider)

    I have a scenario where one provider gives the patient a Botox injection for a migraine and they want to give the remaining Botox to another physician in another clinic (but through the same hospital) to use for neuropathic pain on the same patient. The patient's insurance will pay for Botox...
  8. S

    Wiki ilioinguinal nerve botox coding

    My physician did a therapeutic ilioinguinal nerve block and neurolysis with botox under ultrasound guidance. I would normally code the nerve block as 64425 but I am having trouble with the chemodenervation code for the botox of the ilioinguinal nerve. Coding guidelines for the destruction by...
    • sarthur
    • Thread
    • botox chemodenervation ilioinguinal nerve block
    • Replies: 4
    • Forum: Anesthesia
  9. 5

    Wiki botox injection in the trapezius

    Hello, We have a provider that would like to perform a Botox injection, and the patient has Medicare. DX G24.8 applies to this patient (other dystonia)and the provider has requested that we schedule "Botox - trapezius TPI”. Is it possible to bill and be reimbursed…. I think CPT code that we...
  10. C

    Wiki 64614 coding help needed

    This code for chemodenervation is used when giving Botox for dx such as contractures. When this is given to all limbs, my interpretation of the CPT is that this can only be billed for a quantity of 1, since the description includes muscle(s). Is that your interpretation, too? Also, the...
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