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Thread: Bladder injection botulinum toxin A

  1. #1

    Default Bladder injection botulinum toxin A

    AAPC: Back to School
    This patient had a injection of botulinum toxin A through a cystoscope into the bladder. I can not find a CPT fitting for this procedure. Any sugggestions please.
    Thanks, Dave

  2. #2
    Join Date
    Apr 2007
    Columbus GA


    From another thread:

    Here is what Dr. Ferragamo MD, FACS suggests:Thank you for an interesting question and answer. For most Medicare carriers
    I usually recommend an unlisted code, 53899, for the injection of Botox into
    the bladder musculature as indicated by many LCDs for the various states.
    However, for Cigna Medicare (in North Carolina, Idaho, and Tennessee) the
    carrier has suggested 64640 and 52000 for the procedure.

    Also add in Box # 19 of the 1500 form or in the equivalent box of the
    electronic billing: "Botox toxin type A via cystoscopic examination is
    injected into the detrusor bladder musculature to correct the symptoms of
    the over active bladder"

    If you supply the Botox also bill: J0585 99 units in box 24G

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