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Overview
Treatment options available to patients with primary hyperhidrosis
can be categorized as non-surgical (topical antiperspirants,
iontophoresis, systemic medication) or surgical (endoscopic
thoracic sympathectomy, excision of axillary tissue).[9]
Botulinum toxin injection, which can be said to be “minimally
invasive,”[99]
has become a therapy for patients who fail to respond to more-conservative treatment prior to resorting to surgery.[29,99]
The therapeutic alternatives also differ by duration of
efficacy, side effects, and response rate in the various anatomic
areas treated.[9,29,97]
Quick reference chart for ICD9 and CPT codes
For help with your office's insurance and
reimbursement process we've recently developed a handy
chart with the latest ICD-9 and CPT codes for
hyperhidrosis and hyperhidrosis treatments. The chart
is provided below or you can download a printable PDF
now.
| ICD9
Codes |
•
Primary Focal Hyperhidrosis: 705.21
• Secondary Hyperhidrosis: 705.22
• Generalized hyperhidrosis: 780.8 |
| CPT Codes |
CPT Codes for Treatment of Hyperhidrosis
with Botulinum toxins:
• Face/Head Primary Hyperhidrosis: 64653
• Plantar and/or Palmar Primary Hyperhidrosis: 64999 (May require manual processing.)
• Axillary Primary Hyperhidrosis: 64650
• Botulinum toxin: J0585 (Bill per unit of toxin,
per axilla. If billing for >99 units, check to be sure system can
accept/recognize 3-digits. If not, bill for 99 units, and then for the
balance separately.)
CPT Codes for Treatment of Hyperhidrosis
with Iontophoresis:
• for each 15-minute session
97033
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