AMA CPT® Assistant - 2010 Issue 2 (February)

Surgery: Eye and Ocular Adnexa (Q&A) (February 2010)

February 2010 page 13c Surgery: Eye and Ocular Adnexa (Q&A) Question: Please describe CPT code 67345, Chemodenervation of extraocular muscle. Answer: Chemodenervation of extraocular muscle is a procedure that is generally used to treat strabismus, and entails the direct injection of botulinum toxin (Botox) into the muscle belly of an extraocular muscle. The physician identifies the muscle through direct exposure or through the use of an electromyographic needle. Once the muscle has been exposed, it is injected with the appropriate amount of toxin. Impact to the muscle may be noticeable in 12 to 36 hours, and generally lasts...

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