How To Use CPT Code 64650

CPT 64650 describes the procedure of chemodenervation of eccrine glands in both axillae to treat hyperhidrosis, a condition characterized by excessive sweating. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 64650?

CPT 64650 is used to describe the procedure of chemodenervation of eccrine glands in both axillae. This procedure involves administering a chemical compound to the sweat glands in the armpits to treat hyperhidrosis, a condition characterized by abnormally excessive sweating.

2. Official Description

The official description of CPT code 64650 is: ‘Chemodenervation of eccrine glands; both axillae.’

3. Procedure

1. The provider first identifies the areas of excessive sweating using a starch iodine test.
2. Several intradermal injections of a chemical compound, usually botulinum toxin type A, are administered into the eccrine glands in the armpits.
3. The injections are placed 1 to 2 cm apart to allow the chemical compound to spread throughout the entire area.

4. Qualifying circumstances

CPT 64650 is performed to treat hyperhidrosis, a condition characterized by excessive sweating. The patient must have excessive sweating in both axillae, and the procedure must be performed by a qualified provider. The provider administers a chemical compound, usually botulinum toxin type A, into the eccrine glands in the armpits.

5. When to use CPT code 64650

CPT code 64650 should be used when a provider performs the chemodenervation procedure on the eccrine glands in both axillae to treat hyperhidrosis. It should not be used for other procedures or conditions.

6. Documentation requirements

To support a claim for CPT 64650, the provider must document the following information:

• Diagnosis of hyperhidrosis
• Results of the starch iodine test
• Chemical compound administered, such as botulinum toxin type A
• Date of the procedure
• Start and end time of the procedure
• Number and location of injections
• Any complications or adverse reactions
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 64650, ensure that the procedure is performed on both axillae and that the appropriate chemical compound, such as botulinum toxin type A, is used. Report CPT 64650 as a standalone code and do not report it with other codes. Follow the specific guidelines provided by the payer for accurate billing.

8. Historical information

CPT 64650 was added to the Current Procedural Terminology system on January 1, 2006. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with hyperhidrosis undergoes chemodenervation of eccrine glands in both axillae to treat excessive sweating.
2. A provider administers botulinum toxin type A injections into the sweat glands in the armpits of a patient with hyperhidrosis.
3. A patient with hyperhidrosis receives intradermal injections of a chemical compound to the eccrine glands in both axillae to reduce excessive sweating.
4. A provider performs the chemodenervation procedure on the sweat glands in the armpits of a patient with hyperhidrosis.
5. A patient with hyperhidrosis undergoes the chemodenervation of eccrine glands in both axillae using a chemical compound.
6. A provider treats a patient with hyperhidrosis by administering intradermal injections of a chemical compound into the sweat glands in the armpits.
7. A patient with excessive sweating in both axillae receives the chemodenervation procedure to reduce sweat production.
8. A provider performs the chemodenervation of eccrine glands in both armpits to treat hyperhidrosis in a patient.
9. A patient with hyperhidrosis undergoes the administration of a chemical compound into the sweat glands in both axillae to control excessive sweating.
10. A provider treats a patient with hyperhidrosis by injecting a chemical compound into the eccrine glands in both armpits to reduce sweat production.