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Can we code this as 64647?

Date: Oct 19, 2020

Question:

Can we code this as 64647? "The patient was placed in the ultrasound procedure area and a preliminary ultrasound evaluation at the superficial right and left abdominal wall was performed. Superior, medial, and inferior segments of the right and left external oblique muscle, internal oblique muscle and transverse muscle were identified and marked on the skin. Areas previously marked were then prepped and draped under sterile fashion. Using a 25-gauge needle the skin was anesthetized with lidocaine. Using ultrasound guidance a 21-gauge needle was advanced and administration of Botox was done bilaterally involving the superior, medial and inferior segments of the external oblique muscle, internal oblique muscle and transverse muscles. A total of 300 units of Botox were used which were administered equality at the previously marked sites. The patient tolerated the procedure well without any immediate complications. IMPRESSION: Ultrasound-guided right and left external oblique muscle, internal oblique muscle and transverse muscle Botox injection, as described above."

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