Forum - Questions & Answers

Dec 10th, 2010 - afzal.zee 19 

Botulinum toxin A

We bill J0585 (onabotulinumtoxinA, 1 unit) for Botulinum toxin A with 100 units and denied by Medicare due to invalid quantity of the procedure. This procedure is only for 1 unit the code for 100 unit of rimabotulinumtoxinB is J0587. May I bill J0587 for 100 units of Botulinum toxin A? Is there an other appropriate code? Please suggest Thank you!

Dec 10th, 2010 -

You have it right

A is per unit, B is per 100 units; you can't bill B if you gave A. Different drugs! Appeal

http://www.cms.gov/mcd/lcd_attachments/28554_8/CodingandBillingArticleINJ018v.pdf



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