tci Part B Insider - 2004 Issue 2

Botox Coding: Botox Used for More Than Just a Pretty Face

Use 64614 instead of 64640, coder saysIt summons images of movie stars getting injections to remove every last wrinkle from their faces. But botulinum toxin, better known as Botox, has a number of medical uses, treating everything from muscle spasms to migraines. The trick is getting Medicare to recognize that you're not providing it for cosmetic reasons. "We do Botox for things like dystonia and spasmodic tortecolis," says Michelle Torri, a coder with Associated Neurologists of Southern Connecticut in Fairfield, Conn. The Connecticut Blue Cross/Blue Shield just announced it would cover Botox for migraine, a use that...

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