Does CPT code 64615 need a modifier?
Does CPT code 64615 need a modifier?
Some codes such as 64611 and 64615 can be used once per injection session and, therefore, modifiers will not apply.
How many units is J0585?
For HCPCS procedure code J0585 (Injection, onabotulinumtoxinA, 1 unit), 200 units would be indicated (including the 45 units of waste).
What is procedure code 64615?
Group 1
| Code | Description |
|---|---|
| 64612 | CHEMODENERVATION OF MUSCLE(S); MUSCLE(S) INNERVATED BY FACIAL NERVE, UNILATERAL (EG, FOR BLEPHAROSPASM, HEMIFACIAL SPASM) |
| 64615 | CHEMODENERVATION OF MUSCLE(S); MUSCLE(S) INNERVATED BY FACIAL, TRIGEMINAL, CERVICAL SPINAL AND ACCESSORY NERVES, BILATERAL (EG, FOR CHRONIC MIGRAINE) |
Does Medicare cover CPT code 64612?
1. Chemodenervation codes 64612, 64613, and 64614 are identified in the Medicare Physician Fee Schedule (MPFS) database as codes, which will allow 150% of the unilateral service fee schedule amount when performed bilaterally.
How do you bill J0585 units?
The descriptor for J0585 requires that BOTOX® be billed by number of Units, not number of vials. added to the beginning of the 10-digit NDC listed on the box (eg, 00023-1145-01).
Can you Bill 64612 twice?
Please note that in a CPT Assistant newsletter in 2001, the American Medical Association’s CPT Information Services indicated, “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.” (CPT Assistant.
How many units of Botox does Medicare cover?
Medicare will allow payment for one injection per site regardless of the number of injections made into the site. A site is defined as including muscles of a single contiguous body part, such as a single limb, single eyelid, side of the face, side of the neck, both vocal cords, etc.