#255624
niermanpm
Participant

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: Botox Type A: HCPCS codes: • J0585 – Botulinum toxin type A, per unit • J0586 – Injection, Abobotulinumtoxina, 5 units • J0588 – Injection, incobotulinumtoxinA, 1 unit 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!