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Medicare code for anorectal/sphincter Botox injection for chronic pain


I'm working with my surgeon to get a PA for the subject procedure. The procedure will be done at an outpatient surgicenter, which will dispense the Botox. From what I can tell, the primary code is 46505. I'd mostly like to know whether there is a particular code if the injection is done with a local anesthetic or under general anesthesia. One other question is whether Medicare will object to the claim if the shot is given at a surgicenter under a local vs. the doctor's office. Given that the Botox must be dispensed by the surgicenter, I don't think it should matter. Thanks!


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