tci Outpatient Facility Coding Alert - 2013 Issue 3

Reader Question: Watch New Guidelines for Chemodenervation

Question: Can you please clarify if we can still use the chemodenervation codes 64612 and 64613 for migraine? Is there a new chemodenervation code for 2013? Ohio Subscriber Answer: When reporting an injection of botulinum toxin to treat headache or intractable migraine in 2012, you would use 64612 (Chemodenervation of muscle[s]; muscle[s] innervated by facial nerve, unilateral [e.g., for blepharospasm, hemifacial spasm]) or 64613 (Chemodenervation of muscle[s]; neck muscle[s] [e.g., for spasmodic torticollis, spasmodic dysphonia]), depending on which muscles your provider injected. Some headaches are actually due to muscle spasms in the neck or the base of...

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