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Botox billing 64612 - 64616

  1. #1
    Default Botox billing 64612 - 64616
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    We are having some difficulties biling for botox injections having to do with the interpretation of the code. Medicare seems to interpret it differently than BC/BS.
    Medicare allows these codes to be billed bilaterally with a -50 modifier and multiple -51, which seems to interpret the code as being allowed for each extremity done. BC/BS does not allow the code billed more than one time each session, which seems to interpret the code as all extremities included.
    Is anyone else having this problem?

  2. #2
    Default botox
    We only bill one time per visit unless bilaterally. They wont reimburse for more. Crazy I know but we had a Botox Rep come to our office and told us (Dr. included) how to bill. I have a sheet they prepared for us, if you are interested, send me an e-mail with your fax # and I will forward it to you.
    Colleen CPC

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