AMA CPT® Assistant - 2007 Issue 12 (December)

Surgery: Nervous System (December 2007)

December 2007 page 8 Coding Communication:Surgery: Nervous System Question: What is the appropriate code to report an injection of botulinum toxin into a unilateral lumbar paravertebral facet joint nerve? The April 2001 CPT Assistant states that chemodenervation with botulinum is different than destruction of nerves because the effect is largely reversible. Answer: Currently, there is no specific CPT code for injection of botulinum toxin into a paravertebral facet joint. Botulinum toxin acts on the neuromuscular junction and is typically injected into muscles for spasticity or dystonia. Therefore, botulinum toxin injected into the paravertebral facet joint should be reported using...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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