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.
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.
| Drug | Code | Administered Dosage | Billing Units |
|---|---|---|---|
| Dysport | J0586 | 500 units | 100 |
Covered Diagnoses (Medical Necessity)
Dysport is covered for specific neuromuscular conditions, not cosmetic use. Valid ICD-10s include:
- G24.3 - Spasmodic torticollis (Cervical dystonia)
- G24.1 - Genetic torsion dystonia
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.