64612 cannot be submitted with units greater than 1. The code specifies multiples in the descriptor it states muscle(s) in the descriptor.
Also for bilateral (50) and use of RT or LT modifiers, it must be for a procedure performed on a defined bilateral body part or organ. Muscles of the face are not defined as bilateral.
So no matter how many injections given, when of the same area in this case face then you may bill only one code with one unit. If the (s) were not part of the descriptor, you would use the 59 modifier.
In a CPT Assistant newsletter in 2001, the American Medical Association's CPT Information Services indicated that "codes 64612–64614 should be reported only one time per procedure even if multiple injections are performed in sites along a single muscle or if several muscles are injected."
another source states:
While multiple injections may be performed in sites along a particular muscle and several muscles are typically injected, only one unit of the appropriate CPT code (64612-64614) should be reported. Some payers do allow billing in multiple units or with a modifier (-50 to indicate bilateral limb injections, for example) but this is technically incorrect coding and could expose physicians to allegations of fraud and abuse.
I hope this helps you.
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