Article Detail - JE Part A
Billing and Coding: Botulinum Toxin Injections (A57185) - R12 - Effective March 5, 2026
Date Posted: March 5, 2026
This Billing and Coding Article has been revised under contractor numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).
Effective Date: March 5, 2026
Summary of Changes: The following updates have been made:
Added CPT codes 31570 and 31573 to Group 1 in the CPT/HCPCS section and to the Group 9 Paragraph in the ICD-10-CM Codes that Support Medical Necessity section.
Corrected Group 8 Paragraph to remove CPT 64654 and add CPT 64650.
Added Group 9 Laryngeal Dystonia (CPT Code 64617) under the "ICD-10-CM Codes That Support Medical Necessity" section.
Added CPT codes 64642, 64643, 64644, 64645, 64646 and 64647 to the Group 15 Paragraph in the "ICD-10-CM Codes That Support Medical Necessity".
Removed ICD-10 code G24.8 from Group 13 in the ICD-10-CM codes that Support Medical Necessity section.
Added a paragraph in the Article Text under Modifiers JW and JZ section.
Added a paragraph in the Article Text under the Cosmetic Use section.
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