tci General Surgery Coding Alert - 2015 Issue 6

Reader Questions: Roundup Multiple Codes for Anal Botox

Question: Our surgeon performed Botox injections to treat anal fissures. How should I code this, and does Medicare cover it? SuperCoder Subscriber Answer: Some MACs provide payment for using Botulinum toxin type A, usually called Botox, to treat anal fissures (ICD-9, 565.0, Anal fissure; ICD-10, K60.0-K60.2, … anal fissure …) and other disorders such as anal spasms (ICD-9, 564.6, Anal spasm; ICD-10, K59.4, Anal spasm), but you should contact your local contractor for local rules. The most specific code for the procedure is 46505 (Chemodenervation of internal anal sphincter), although some payers may...

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