MUE limit on Botox claims

I have tried several times to get the information on Botox limitation, as of now there is a limitation for Botox on number of units however it has not been published by Medicare, i would like to have someone provide an update to me ?

4 Hours

I would agree that four hours is consdiered a reaonable time limit during which the treated areas should not be manipulated and avoidance of vigorous physical activity or excercise.

Coding

Coding : 275 units of Dysport are administered from a 300-unit vial. Bill with HCPCS code J3490 or J0586, depending on the Date(s) of Service (DOS), enter “1” in the QB field (equates to the number of vials used) and enter “Dysport 275 U” in the comment field (e.g., Item 19).

Botulinal Toxins

Botox®
onabotulinumtoxinA
100-unit vial
J0585 (per unit)

DysportTM
abobotulinumtoxinA
300-unit vial

500-unit vial
*J3490 (per 1 unit) through DOS 12/31/2009; J0586 (per 5 units) for DOS on or after 01/01/2010.

Myobloc®
rimabotulinumtoxinB
2,500-unit vial 5,000-unit vial 10,000-unit vial
J0587 (per 100 units)

MUE limit on Botox claims

do we know the limitation on frequncy for botox and myobloc with Medicare, this change is effective from 10/01/2010