Hi Guest!
I have listed the codes below in this message that are listed in Aetna’s medical policy for botox (the most common ones used for dental practices are J0585 and 64615) and a link to the Aetna medical policy on Botox:
http://www.aetna.com/cpb/medical/data/100_199/0113.html Botox Type A:
HCPCS codes:
• J0585 - Botulinum toxin type A, per unit [Botox]
• J0586 - Injection, Abobotulinumtoxina, 5 units [Dysport]
• J0588 - Injection, incobotulinumtoxinA, 1 unit [Xeomin]
CPT Codes:
• 64611 - Chemodenervation of parotid and submandibular salivary glands, bilateral
• 64612 - Chemodenervation of muscles(s); muscles(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm)
• 64615 - Chemodenervation of muscles(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)
• 64616 - Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)
• 64617 - larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed
• 64653 - Chemodenervation other area(s) (e.g., scalp, face, neck), per day
• 95873 - Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)
• 95874 - Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)
Botox Type B:
HCPCS Code:
• J0587 - Botulinum toxin type B, per 100 units
CPT Codes:
• 64616 - Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)
• 95873 - Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)
• 95874 - Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)
Hope this helps!