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  • Botulinum Toxins Injectable Medication Precertification Request. Botulinum Toxins Injectable

Get Botulinum Toxins Injectable Medication Precertification Request. Botulinum Toxins Injectable

Aetna Precertification Notification 503 Sunport Lane, Orlando, FL 32809 Phone: 18665030857 FAX: 18882673277 Botulinum Toxins Injectable Medication Precertification Request Page 1 of 3 (All fields.

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How to fill out the Botulinum Toxins Injectable Medication Precertification Request online

Completing the Botulinum Toxins Injectable Medication Precertification Request is an essential step in accessing this treatment. This guide offers clear, step-by-step instructions to help you accurately fill out the form online, ensuring all necessary information is provided for precertification review.

Follow the steps to accurately complete your precertification request.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the start date of treatment and the date of the last treatment in the specified fields. Make sure these dates are in the correct format.
  3. Once all necessary information is filled in, save your changes, download, print, or share the form as needed.

Get started with your Botulinum Toxins Injectable Medication Precertification Request online for a smooth health care experience.

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Any injection in the cranium (64612) including corregator, frontalis, temporalis, occipitalis, facial muscles, and masseter are considered head/ face. This code can be used bilaterally using RT and LT or the 50 modifier.

CPT 64615 for injection of for blepharospasm? Use 64612 for blepharospasms. Additional Coding Clues from our Coding Coach for CPT 64612: Bilateral procedures will only be considered when both eyes or both sides of the face are injected.

J0588) is used in conjunction with the one of the required CPT injection codes (64612, injection of chemical for destruction of nerve muscles on one side of face, or 64615, injection of chemical for destruction of facial and neck nerve muscles on both sides of face).

injections are shots that use a toxin to prevent a muscle from moving for a limited time. These shots are often used to smooth wrinkles on the face. They're also used to treat neck spasms, sweating, overactive bladder, lazy eye and other conditions.

The Current Procedural Terminology (CPT®) code 64616 as maintained by American Medical Association, is a medical procedural code under the range - Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves.

Use CPT code 64646 when injecting 1 to 5 muscles and 64647 for 6 or more. Each code can only be used once per session.

Group 2 CodeDescriptionJ0585INJECTION, ONABOTULINUMTOXINA, 1 UNITJ0586INJECTION, , 5 UNITSJ0587INJECTION, RIMABOTULINUMTOXINB, 100 UNITSJ0588INJECTION, INCOBOTULINUMTOXIN A, 1 UNIT

Botulinum toxins are ingested through improperly processed food in which the bacteria or the spores survive, then grow and produce the toxins. Though mainly a foodborne intoxication, human botulism can also be caused by intestinal infection with C. botulinum in infants, wound infections, and by inhalation.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232