I'm not sure how other offices do it, but my office has "dummy codes" assigned for posting purposes in the system. These codes are used whenever a cosmetic patient comes in for services and no claim will ever be genereated to the insurance.
Diagnosis code used is V50.9 and the post would look something like this:
2009272 (the dummy code): Botox, cosmetic surgery-non covered service, 40 units: $600.
2009270 Cosmetic surgery-non covered service, 1 syringe: $750
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