Dysport is one of three options your neurologist may use if he uses a botulinum toxin to interrupt pain signals in a patient's limbs, neck or back. Each one of these drugs has its own J code; Dysport's HCPCS code happens to be J0586.
When reporting J0586, remember that the number of drug units injected in important to coding. Therefore, if your neurologist injected 100 units of onabotulinumtoxinA into a patient's right splenius capitis muscle and 100 units into the right sternocleidomastoid muscle, you should report 40 billing units of service for J0586 - i.e 200 divided by 5 or the total number of units of the toxin injected separated by the number of units described by the HCPCS code.
Prior to 2010, you reported Dysport using J3490. It comes in two preparations: a single-use, sterile 500-unit vial normally used for cervical dystonia and a single-use, sterile 300-unit vial commonly used for cosmetic reasons in treatment of glabellar lines.
Do not forget though: Your neurologist should clearly document the amount of botulinum toxin injected and the specific muscles injected. If there's any unavoidable wastage, there should also be documentation of the specific amount wasted. You will report the wasted amount using the modifier JW.
The reason behind it is that Botulinum toxin's shelf life is normally considered to be only four hours after reconstituting or opening; as such, the rest should be discarded.
Code lookup HCPCS: If you want to know more about Dysport and do a HCPCS code look up, sign up for a one-stop Medical Coding Website.
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