botox injection in the trapezius

574coding

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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 would use is 64616.
 

CodingKing

True Blue
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Medicare LCDs are the best place to start.

Most of the MACs list it as covered for Dystonia when there is spasticity of central nervous system origin.
 
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