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    HCPCS Details

    HCPC J0585
    Short Description Injection,onabotulinumtoxina
    Long Description Injection, onabotulinumtoxina, 1 unit
    Pricing indicator 51
    Coverage code D
    ASC payment group code YY
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2010-01-01
    Date Added 1991-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    00023114501 J0585 Injection,onabotulinumtoxina Botox ALLERGAN SALES, LLC 1 UNIT 1 1 100 100
    00023391950 J0585 Injection,onabotulinumtoxina Botox Cosmetic ALLERGAN SALES, LLC 1 UNIT 1 1 50 50
    00023392102 J0585 Injection,onabotulinumtoxina Botox ALLERGAN SALES, LLC 1 UNIT 1 1 200 200
    00023923201 J0585 Injection,onabotulinumtoxina Botox Cosmetic ALLERGAN SALES, LLC 1 UNIT 1 1 100 100
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 1 UNIT
    HCPCS/CPT Billing Units 1
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    Billing Units 1

    Drug Details

    • OnabotulinumtoxinA injection (Botox, Botox Cosmetic) is used to treat a number of conditions.

    • OnabotulinumtoxinA injection (Botox) is used to:

      • relieve the symptoms of cervical dystonia (spasmodic torticollis; uncontrollable tightening of the neck muscles that may cause neck pain and abnormal head positions) in people 16 years of age and older;

      • relieve the symptoms of strabismus (an eye muscle problem that causes the eye to turn inward or outward) and blepharospasm (uncontrollable tightening of the eyelid muscles that may cause blinking, squinting, and abnormal eyelid movements) in adults and adolescents 12 years of age and older;

      • prevent headaches in people older than 18 years of age with chronic migraine (severe, throbbing headaches that are sometimes accompanied by nausea and sensitivity to sound or light) who have 15 or more days each month with headaches lasting 4 hours a day or longer;

      • treat overactive bladder (a condition in which the bladder muscles contract uncontrollably and cause frequent urination, urgent need to urinate, and inability to control urination) in people 18 years of age and older when other medications do not work well enough or cannot be taken;

      • treat neurogenic detrusor overactivity (NDO; a bladder control condition caused by brain, spinal cord or nerve problem) in children 5 years of age and older when other medications did not help or could not be tolerated;

      • treat incontinence (leakage of urine) in people 18 years of age and older with overactive bladder (condition in which the bladder muscles have uncontrollable spasms) caused by nerve problems such as spinal cord injury or multiple sclerosis (MS; a disease in which the nerves do not function properly and people may experience weakness, numbness, loss of muscle coordination, and problems with vision, speech, and bladder control), who cannot be treated with oral medication;

      • treat spasticity (muscle stiffness and tightness) of muscles in the arms and legs in adults and children 2 years of age and older;

      • treat severe underarm sweating in people 18 years of age and older who cannot be treated with products applied on the skin;

    • and

    • OnabotulinumtoxinA injection (Botox Cosmetic) is used to

      • temporarily smooth frown lines (wrinkles between the eyebrows) in adults 18 years of age and older,

      • temporarily smooth crow's feet lines (wrinkles near the outer corner of the eye) in adults 18 years of age and older,

      • and to temporarily smooth forehead lines in adults 18 years of age and older.

    • OnabotulinumtoxinA injection is in a class of medications called neurotoxins. When onabotulinumtoxinA is injected into a muscle, it blocks the nerve signals that cause uncontrollable tightening and movements of the muscle. When onabotulinumtoxinA is injected into a sweat gland, it decreases the activity of the gland to reduce sweating. When onabotulinumtoxinA is injected into the bladder, it decreases bladder contractions and blocks signals that tell the nervous system that the bladder is full.