Billing and Coding: Botulinum Toxins Type A and B (A57186) - R10 - Effective October 1, 2025

Date Posted: October 30, 2025

This Billing and Coding Article has been revised under contractor numbers: 02101 (AK), 02201 (ID), 02301 (OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).

Effective Date: October 1, 2025

Summary of Changes:

Updated the Group 2 Asterisk Explanation to indicate: The diagnosis codes above require a second code from Group 3 in order to be payable and are used only when there is spasticity of central nervous system origin.

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