Results 1 to 3 of 3

Billing for J0588 Botox

  1. #1
    Default Billing for J0588 Botox
    Medical Coding Books
    I need to bill for 200 units of J0588 Botox injected. I just received a denial from Medicare saying that we can only bill up to 100 units per line of J0588 Botox. BUT.....when I resubmitted the claim on seperate lines, they denied the second line as a dup charge. I am really frustrated. Any suggestions?
    By the way.....when did this start? We have been billing on one line forever with no problems. And now this............

    Stacy Moch, CPC-A
    Oregon Neurology Associates

  2. #2
    Everett, WA
    I seem to remember this happening to us back when we were billing for botox and we would separate it actually out into three separate lines with an explanation on line 19 of the HCFA form. Most likely the reason they denied as dupe was because you billed two separate lines with 100 units each, correct? Did you call MCR? My thinking may be outdated here, but try 3 lines, that way your amts will be different and hopefully not deny as a dupe. Just a thought.....maybe others will jump in with another solution...
    Suzanne E. Byrum CPC

  3. #3
    Denver Colorado
    The HCPCS code for Botox is J0585 Injection, onabotulinumtoxinA, 1 unit. The J0588 code is for Xeomin or Injection, incobotulinumtoxinA, 1 unit.

    Both are botulinum toxins but they are not the same drug so you may want to check before you resubmit the claim.

Similar Threads

  1. medicare botox billing
    By pcallanan in forum Billing/Reimbursement
    Replies: 1
    Last Post: 12-09-2015, 03:27 PM
  2. Billing J0588 Botox
    By stacymoch in forum Billing/Reimbursement
    Replies: 0
    Last Post: 09-24-2014, 03:45 PM
  3. Billing Botox for Migraines
    By cronicizo in forum Billing/Reimbursement
    Replies: 3
    Last Post: 12-06-2011, 11:16 AM
  4. Botox billing
    By codergirl3504 in forum Billing/Reimbursement
    Replies: 3
    Last Post: 06-21-2011, 01:00 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.