What is the appropriate code to report an injection of botulinum toxin into a unilateral lumbar paravertebral facet joint nerve? The April 2001 CPT Assistant states that chemodenervation with botulinum is different than destruction of nerves because the effect is largely reversible.
Answer:
Currently, there is no specific CPT code for injec-tion of botulinum toxin into a paravertebral facet joint.
Botulinum toxin acts on the neuromuscular junction and is typically injected into muscles for spasticity or dystonia. Therefore, botulinum toxin injected into the paravertebral facet joint should be reported using the unlisted code 64999, Unlisted procedure, nervous system, becausechemodenervation is not being performed.
Answer:
Currently, there is no specific CPT code for injec-tion of botulinum toxin into a paravertebral facet joint.
Botulinum toxin acts on the neuromuscular junction and is typically injected into muscles for spasticity or dystonia. Therefore, botulinum toxin injected into the paravertebral facet joint should be reported using the unlisted code 64999, Unlisted procedure, nervous system, becausechemodenervation is not being performed.
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