AAPC - Back to school
Results 1 to 4 of 4

Thread: Botox Injections

  1. #1

    Default Botox Injections

    AAPC: Back to School
    I'm auditing botox injections which is new to me. Can anyone advise on bilateral, multiple eyelids, etc., and calculating the injection units?

  2. #2
    Join Date
    Apr 2007


    I used to bill for these. From what I remember you can only bill bilateral if you truly did both sides of the body. Like both eyes, both arms, both legs, etc. As far as calculating the injection units - If I remember correctly each bottle of Botox is 100 units so the nurse or doctor should be letting the billing staff know how many units are injected. Also, if the patients are scheduled in a way that you have drug wastage that can billed also.
    Last edited by scorrado; 05-06-2008 at 07:54 AM.
    Susie Corrado, CPC
    ENT Coding/Billing

  3. #3


    Thank you Susie. I'm looking at bilateral as being both eyes regardless of whether upper and lower lids were injected. Does this seem correct? Also I'm interpreting neck and face to be one single body site as in not bilateral since there is only one neck and face anatomically. Is this similar to what you understand or am I incorrect?

  4. #4
    Join Date
    Apr 2007


    You are correct about the eyes. As far as the other parts of the body we were told that basically the body is cut in half and that is how we determine if it is bilateral. If the patient was having cervical dystonia on both sides of his neck and you injected on both sides that would be bilateral. Same with face - use the nose as the divider. It doesn't happen very often with the face but you will find bilateral alot in the neck. Now that being said that doesn't mean we got paid for the bilateral charge. Some insurances do only recognize the neck as one site - same with face. I literally had a sheet with a list of insurance companies and how they wanted to be billed for Botox. Botox billing is very complicated and not fun and I am so glad we do not do it alot anymore. A good resource for you would be www.botox.com. That is a website that Allergon has that helps with reimbursement issues. Hope this info helps - Happy auditing!
    Susie Corrado, CPC
    ENT Coding/Billing

Similar Threads

  1. Botox injections
    By debrakae in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 03-28-2013, 02:06 PM
  2. Botox Injections
    By dyoungberg in forum Dermatology
    Replies: 2
    Last Post: 12-08-2011, 04:57 PM
  3. Botox Injections
    By sheilagoodell in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-21-2011, 10:24 AM
  4. Botox injections
    By steph2355 in forum Anesthesia
    Replies: 3
    Last Post: 05-13-2009, 11:29 AM
  5. botox injections
    By cfrantz in forum Plastic Surgery
    Replies: 5
    Last Post: 04-22-2008, 04:07 AM

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.