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Hi Guest! Yes there is! The most common ones used for dental practices are J0585 (for the botox drug itself) and 64615 (for the injection procedure). However, just a heads up that many medical insurers list botox for treatment of TMJ disorders as currently “experimental & investigational”. A few important notes/main points: • Most medical insurers currently list botox as “experimental & investigational” for a diagnosis of TMJ disorder (M26.601 – M26.69). • Some medical insurers will cover botox for “painful bruxism” (i.e. Aetna), but patient must have had an inadequate response to: • A night guard • Pharmacologic therapy such as diazepam • Some medical insurers will cover botox for “Myofascial Pain Syndrome”, but patient must have tried & failed: • Physical therapy • Trigger point injection (Injection of local anesthetics & corticosteroids) • Many medical insurers cover botox for chronic migraines, but: • Must meet chronic criteria (i.e. at least 15 days/mo) • Must have tried & failed medication attempts (typically 3) • Other indications include “first bite syndrome (when failed relief from analgesics, antidepressants or anticonvulsants) and “excessive salivation” (when refractory to pharmacotherapy) 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!
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