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Chemodenervation of muscle(s) refers to the medical procedure in which neurotoxins are injected into specific muscles to induce temporary paralysis or relaxation. This technique is commonly utilized for treating conditions such as spasmodic torticollis, a disorder characterized by involuntary muscle contractions in the neck that result in abnormal head positioning, and spasmodic dysphonia, a voice disorder caused by involuntary spasms of the vocal cords. The procedure typically targets the neck muscles, including the cervicus and sternocleidomastoid muscles, which are crucial for neck movement and stability. By administering neurotoxins, healthcare providers aim to alleviate the symptoms associated with these conditions, improving the patient's quality of life and functional capabilities. The injections are performed at bilateral sites, ensuring comprehensive treatment of the affected muscle groups.
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The procedure of chemodenervation of neck muscles is indicated for specific conditions that involve involuntary muscle contractions. The primary indications include:
The procedure for chemodenervation of neck muscles involves several key steps to ensure effective treatment. These steps include:
Following the chemodenervation procedure, patients may experience some temporary side effects, such as localized pain or swelling at the injection sites. It is important for patients to follow any post-procedure care instructions provided by their healthcare provider, which may include avoiding strenuous activities for a short period. The effects of the neurotoxin typically begin to manifest within a few days and can last for several months, depending on the individual response to treatment. Patients should schedule follow-up appointments to assess the effectiveness of the procedure and determine if additional treatments are necessary.
| Short Descr | DESTROY NERVE NECK MUSCLE | Medium Descr | CHEMODENERVATION NECK MUSCLE | Long Descr | Chemodenervation of muscle(s); neck muscle(s) (eg, for spasmodic torticollis, spasmodic dysphonia) | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | Not applicable/unspecified. | CCS Clinical Classification | 9 - Other OR therapeutic nervous system procedures |
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| 2014-01-01 | Deleted | Code deleted, see 64616 |
| 2013-01-01 | Changed | Guideline information changed. |
| 2011-04-04 | Changed | Bilateral surgery indicator changed to 2 |
| 2011-01-01 | Changed | Short description changed. |
| 2006-01-01 | Changed | Code description changed. |
| 2001-01-01 | Changed | Code description changed. |
| 1992-01-01 | Added | Code added. |
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