Botox
Chemodenervation of muscle(s) is the correct code for Botox Injection. Choose the location accordingly and appy codes 64612,13,14. Look at the CDR ::
The physician administers a neurotoxin to paralyze dysfunctional muscle tissue innervated by the facial nerve. Chemodenervation works by introducing a substance used to block the transfer of chemicals at the presynaptic membrane. Botulinum toxin type A (BTX-A, Botox®) is the substance most commonly used for chemodenervation of muscle tissue innervated by the facial nerve. The physician identifies the nerve(s) or muscle endplate(s) by direct surgical exposure or through the insertion of an electromyographic needle into the muscle. A small amount of BTX-A is injected into the muscle belly, inducing muscle paralysis within 24 to 48 hours. The duration of the effect can vary, but typically is three to four months. Gradually, blocked nerves form new neuromuscular junctions resulting in the return of muscle function. BTX-A is dose-dependent and reversible secondary to the regeneration process. BTX-A injections are an effective treatment for a variety of disorders of abnormal muscle tone, including muscle overactivity or spasticity.