CPCA Coding for Facial Injections Questions and Answers

Question 1

A patient receives 1.0 mL of hyaluronic acid filler in the nasolabial folds and an additional 1.0 mL in the cheeks for cosmetic volume enhancement during the same session.
The total volume of filler injected is 2.0 mL.
Which CPT® code should be reported for the injection procedure?

Accepted Answer

11951

Answer

11950, 11950-59

Answer

11954

Answer

17999

Question 2

The HCPCS Level II code for abobotulinumtoxinA (Dysport) is J0586. What is the standard billing unit for this code?

Accepted Answer

5 units

Answer

1 unit

Answer

50 units

Answer

100 units

Question 3

A patient with chronic migraines receives 155 units of onabotulinumtoxinA following the PREEMPT protocol (CPT 64615). During the same visit, she requests and receives an additional 20 units for cosmetic treatment of her glabellar lines. Which of the following is the most compliant way to code for this encounter?

Accepted Answer

Bill CPT 64615 for 155 units linked to the migraine diagnosis; the cosmetic portion (20 units) is a separate self-pay transaction.

Answer

Bill CPT 64615 for 175 units, linking to the migraine diagnosis.

Answer

Bill CPT 64615 for 155 units linked to the migraine diagnosis and CPT 64612 for 20 units linked to a cosmetic diagnosis.

Answer

Do not bill for the cosmetic portion as it was a small amount administered during a medically necessary visit.

Question 4

A 52-year-old patient requests neurotoxin injections for rhytides of the forehead for purely cosmetic reasons. Which of the following is the most appropriate primary ICD-10-CM code for this encounter?

Accepted Answer

Z41.1, Encounter for cosmetic surgery

Answer

L98.8, Other specified disorders of the skin and subcutaneous tissue

Answer

L57.4, Cutis laxa senilis

Answer

R23.8, Other and unspecified skin changes

Question 5

A physician performs chemodenervation to treat lateral canthal rhytides, also known as 'crow's feet.' Which CPT® code should be reported for this procedure if it is considered medically necessary for treating blepharospasm?

Accepted Answer

64612

Answer

64615

Answer

64617

Answer

17999

Question 6

During the same cosmetic session, a patient receives 1.5 mL of dermal filler in the cheeks and 30 units of incobotulinumtoxinA in the glabellar complex. If these two distinct procedures were coded, which modifier would be appended to the second procedure code to indicate it was a separate service?

Accepted Answer

Modifier 59

Answer

Modifier 25

Answer

Modifier 51

Answer

Modifier 50