A patient suffering from idiopathic dystonia is seen today and receives the following Botulinum injections: three muscle injections in both upper extremities and seven injections in six paraspinal…

The correct answer is B. 64642-50, 64643-50, 64647. For the injections, CPT® code 64642 is used for chemodenervation of one extremity; 64643 for each additional extremity, and 64647 for chemodenervation of muscles in the paraspinal region. The modifier -50 is added to 64642 and 64643 to indicate bilateral procedures. According…

60,000 Series CPT®: Endocrine, Nervous, Eye & Ocular Adnexa, Auditory Systems

Question

A patient suffering from idiopathic dystonia is seen today and receives the following Botulinum injections: three muscle injections in both upper extremities and seven injections in six paraspinal muscles. How are these injections reported according to the CPT® guidelines?

Options

A64644, 64647 x 7
B64642-50, 64643-50, 64647
C64642, 64643, 64647
D64642 x 3, 64642 x 3, 64647 x 7

How the community answered

(40 responses)

A
5% (2)
B
60% (24)
C
10% (4)
D
25% (10)

Explanation

For the injections, CPT® code 64642 is used for chemodenervation of one extremity; 64643 for each additional extremity, and 64647 for chemodenervation of muscles in the paraspinal region. The modifier -50 is added to 64642 and 64643 to indicate bilateral procedures. According to CPT® guidelines, when multiple sites are treated, each site is coded separately, and appropriate modifiers are used.

Topics

#Botulinum toxin injections#chemodenervation#bilateral modifier#add-on codes

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