tci General Surgery Coding Alert - 2004 Issue 9

Reader Question: Code Carefully, Negotiate to Offset Botox Costs

Question: Recently, our cost for Botox has increased to $448 per vial (plus tax), while reimbursement from Medicare has fallen to $443 per vial. How can we deal with this? Must we lose money on the supplies? Louisiana SubscriberAnswer: Your dilemma has become commonplace for practices offering Botox injections, and you have several options for minimizing or eliminating your loss on supplies. The first step is to be sure that you are coding for your supplies correctly. Botox has a very short shelf life, and after you've opened a vial, you must use it within four hours. To report...

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