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64614 coding help needed

  1. Question 64614 coding help needed
    Medical Coding Books
    This code for chemodenervation is used when giving Botox for dx such as contractures. When this is given to all limbs, my interpretation of the CPT is that this can only be billed for a quantity of 1, since the description includes muscle(s). Is that your interpretation, too?

    Also, the instruction states that therapeutic drugs given with this code are a part of the payment of 64614, so does that mean that the Botox drug is not to be billed for separately?

    Thanks for your help,
    Linda Cox

  2. #2
    Default botox
    You are right it can be billed quantity 1 or bilateral only. You can also bill J0585 x how ever many units used. I have a cheat sheet for botox my neuro drs use if you would like me to fax it to you e-mail me @
    Have a nice day

  3. Default
    Colleen - do you still have your cheat sheet? I would like it if possible.

    Diana, CPC
    Physician Auditor

  4. #4
    Saint Paul,MN
    Cool cheat sheet
    I would like a copy of your cheat sheet if you wouldn't mind. Could your forward it via email to If you are not able to send via email, my fax is 612 262 4049. Thank you so much

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