tci General Surgery Coding Alert - 2001 Issue 10

Reader Question: Botox and Anal Fissures

Question: Which CPT code should be used to report Botox injections for anal fissures? Are carriers reimbursing this service?Missouri Subscriber  Answer: The correct code for Botox injections is 64640 (destruction by neurolytic agent; other peripheral nerve or branch). The use of Botox for anal fissures is under investigation, which means coverage for the service varies from carrier to carrier. Some carriers, such as Adminastar in Indiana, pay for Botox injections to treat anal fissures. Others may not pay for anal fissures but do pay when Botox is used to treat achalasia. The injection of Botox into...

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