New Botulinum Toxin Injection LCD - Effective February 22, 2026

Medicare has finalized a new LCD for Botulinum Toxin Injections. Providers are encouraged to review coverage requirements prior to the effective date: Botulinum Toxin Types A and B (L35172)

Se ha producido un error al procesar la plantilla. 
Java method "com.liferay.portal.kernel.util.DateUtil_IW.parseDate(String, String, Locale)" threw an exception when invoked on com.liferay.portal.kernel.util.DateUtil_IW object "com.liferay.portal.kernel.util.DateUtil_IW@13c1b130"; see cause exception in the Java stack trace.

----
FTL stack trace ("~" means nesting-related):
	- Failed at: #assign norModifieddateObj = dateUtil...  [in template "medicare-velocity-templates-theme_SERVLET_CONTEXT_/templates/freemarker/content/free-form-text.ftl" at line 11, column 5]
	- Reached through: #include "medicare-velocity-templates...  [in template "10155#10193#2691134" at line 1, column 1]
----
1<#include "medicare-velocity-templates-theme_SERVLET_CONTEXT_/templates/freemarker/content/free-form-text.ftl"> 

OPD Prior Authorization Coding

Blepharoplasty, Eyelid Surgery, Brow Lift, and related services
15820, 15821, 15822, 15823, 67900, 67901, 67902, 67903, 67904, 67906, 67908
Botulinum Toxin Injection

64612, 64615

Procedure codes must be paired with the botulinum product HCPCS code: J0585, J0586, J0587, J0588

Panniculectomy, Excision of Excess Skin and Subcutaneous Tissue (Including Lipectomy), and related services
15830, 15847, 15877
Rhinoplasty and related services
20912, 21210, 30400, 30410, 30420, 30430, 30435, 30450, 30460, 30462, 30465, 30520
Vein Ablation and related services
36473, 36474, 36475, 36476, 36478, 36479, 36482, 36483
Cervical Fusion with Disc Removal
22551, 22552
Implanted Spinal Neurostimulators
63650
Facet Injections
64490, 64491, 64493, 64494, 64633, 64634, 64635, 64636

Prior Authorization Lookup Tool

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Prior Authorization UTN Calculator

A Unique Tracking Number (UTN) is valid for 120 calendar days, counting the decision date as day one.


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