Transcription of BOTOX Billing and Coding
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STREAMLINEIMPORTANT SAFETY information , INCLUDING BOXED WARNING WARNING: DISTANT SPREAD OF TOXIN EFFECTP ostmarketing reports indicate that the effects of BOTOX and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening, and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have an underlying condition that would predispose them to these symptoms. In unapproved uses, including spasticity in children, and in approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and spasticity and at lower Billing and Codingfor Upper Limb Spasticity, Lower Limb Spasticity, and Cervical DystoniaIndications Spasticity:Upper Limb SpasticityBOTOX for injection is indicated for the treatment of upper limb spasticity in adult patients, to decrease the severity of increased muscle tone in elbow flexors (biceps), wrist flexors (flexor carpi radialis and)
For electronic billing, payers require an 11-digit NDC number (5-4-2 configuration) to be reported on the claim form. ... This coding information contained herein is gathered from various resources and is subject to change. This document is intended for reference only. ... including Boxed Warning and Medication Guide.
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