Bill CPT 64615 for the bilateral administration of a chemical compound into the muscles to paralyze them and reduce chronic migraines.
1. What Is CPT 64615?
CPT code 64615 covers a procedure for the bilateral administration of a chemical compound to the patient’s muscles innervated by the following nerves.
- accessory nerves;
- cervical spinal nerves;
- facial nerves;
- facial nerves; or
- trigeminal nerves.
The chemical compound (often Botox) is injected to paralyze certain muscles of the patient to reduce chronic migraines.
TIP: You can find all the CPT codes for Botox procedures here.
The official description of the 64615 CPT code can be found in the CPT book: “Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (e.g., for chronic migraine).”
The goal of the CPT code 64615 procedure is to block nerve signals from the brain and stop muscles spasm by controlling overactive muscle contraction with the chemical compound to reduce migraines.
The CPT 64615 procedure starts with the preparation of the patient by the provider. Once the patient is ready, the provider uses an EMG (electromyography) technique to record and measure the electrical activity in the muscles of the patient.
The provider locates the overactive muscles with the electromyography technique. Then, they inject Botox (or another chemical compound) into the patient’s muscles to reduce excessive muscle activity.
4. Billing Guidelines
The effects of the CPT code 64615 procedure are temporary. Therefore, this procedure needs to be repeated every three or four months.
It is impossible to report CPT 64615 with bilateral modifier 50 because the procedure is already bilateral.
You may bill the 64615 CPT code only once per procedure.
Use CPT 95873 or CPT 95874 for electromyography, which is used for guidance during chemodenervation.
You can not bill CPT code 64615 in combination with;
- CPT 64647;
- CPT 64646;
- CPT 64645;
- CPT 64644;
- CPT 64643;
- CPT 64642;
- CPT 64617;
- CPT 64616; or
- CPT 64612.
4.1 Does Medicare Pay For CPT Code 64615?
Yes, medicare pays CPT 64615. The Medicare Physician Fee Schedule Database for this code is 2. Report only one unit of this service.