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Dysport (J0586) HCPCS Code: 2026 Medicare Units vs Botox

Last Updated: September 12, 2026

Dysport (abobotulinumtoxinA) is billed under HCPCS code J0586 ↗. The most common error clinics make is billing it exactly like Botox (J0585), which has a completely different unit multiplier in the HCPCS book.

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✓ 354 Medicare-Approved ICD-10 Diagnoses on file for J0586:

Calculating Units for Dysport (J0586)

The code J0586 ↗ is defined as "Injection, abobotulinumtoxinA, 5 units".

Unlike Botox (where 1 unit = 1 unit), Dysport is billed in increments of 5. If you administer 500 units of Dysport to the patient, you divide by 5 and bill exactly 100 units on the claim.

DrugCodeAdministered DosageBilling Units
DysportJ0586500 units100

Covered Diagnoses (Medical Necessity)

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Dysport is covered for specific neuromuscular conditions, not cosmetic use. Valid ICD-10s include:

Injection Administration

Dysport is administered via intramuscular injection (e.g., CPT 64615 ↗ for chemodenervation of facial/neck muscles). Run a dual-code NCCI check to ensure no overlaps with needle EMG guidance if used.

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