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A patient suffering from idiopathic dystonia is seen today and receives the following Botulinum injections: three muscle injections in both upper extremities and seven injections in six paraspinal muscles. How are these injections reported according to the CPTguidelines?
Correct Answer: B
For the injections, CPTcode 64642 is used for chemodenervation of one extremity; 64643 for each additional extremity, and 64647 for chemodenervation of muscles in the paraspinal region. The modifier -50 is added to 64642 and 64643 to indicate bilateral procedures. According to CPTguidelines, when multiple sites are treated, each site is coded separately, and appropriate modifiers are used.References: AMA's CPT Professional Edition (current year), Surgery section, Nervous System.