Results 1 to 2 of 2

Billing botox to medicare in an asc

  1. #1
    Honolulu, HI
    Default Billing botox to medicare in an asc
    Medical Coding Books
    Does anyone know how to bill for Botox J0585 to Medicare in an ASC? We do not usually bill for botox but for an upcoming case we will be.

    Since botox expires rapidly after the vial has been punctured, we have been advised that we need to bill for the number of units used in the case but also for the number of units "wasted" as we can be reimbursed for the entire vial. Is this correct and how would we need to bill the "wasted" portion? Would there be some sort of modifier that would need to be attached to it?


  2. #2

    Here is a great article (published yesterday on this topic) it answers all of your questions.
    Mickie Kummer, CPC, CPMA, CRC, CPC-I, AAPC Fellow

Similar Threads

  1. medicare botox billing
    By pcallanan in forum Billing/Reimbursement
    Replies: 1
    Last Post: 12-09-2015, 02:27 PM
  2. Medicare ASC billing
    By abs1821 in forum Billing/Reimbursement
    Replies: 7
    Last Post: 08-13-2015, 05:14 AM
  3. Billing for Botox in ASC
    By gracec in forum Neurology/Neurosurgery
    Replies: 1
    Last Post: 09-24-2014, 07:08 AM
  4. Facility Medicare Billing for Botox used for Pain Management i
    By rrmclain in forum Billing/Reimbursement
    Replies: 0
    Last Post: 04-30-2013, 11:39 AM
  5. billing Medicare ASC
    By in forum Outpatient Facilities
    Replies: 3
    Last Post: 03-30-2011, 02:25 PM

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.