Report Wastage on Toxin Injection

Tip: Bill for the exact units given per patient.

Question: My neurologist scheduled two patients back-to-back for botulinum type B injections. But he didn’t use all of the Botox and we disposed of it. Do I need to report the

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Check New HCPCS Codes to Keep Pain Management Claims on Track

Catch the changes to botulinum toxin and neurostimulator electrode codes.
As a pain management coder, you’re facing new CPT codes for posterior intrafacet implants, paravertebral facet joint injections, and sacroplasty. While preparing to implement these additions, don’t overlook HCPCS changes for botulinum toxin injections and implantable neurostimulator electrodes.
Pay Attention to Botox Units
A new code for botulinum […]

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Botox Wastage: How Do I Code It Correctly?

Question: My pain management physician treated a patient’s migraine by injecting 70 units of Botulinum type A into the muscles of the patient’s brow, forehead, and temporal region, with 30 units discarded. How do I bill the correct number of units injected?
Answer: Report a single line item of J0585 (Botulinum toxin type A, per unit) […]

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