Cosmetic Surgery Tips

How to bill botox for hyperhidrosis

If you’re a dermatologist who specializes in hyperhidrosis, you might be wondering how to bill botox for hyperhidrosis.

The good news is that there are specific codes that dermatologists can use when billing for treatment of hyperhidrosis. The bad news is that the codes aren’t as straightforward as you might think.

In this article, we’ll go over those codes, so check out the link below!

Hyperhidrosis is a condition that causes excessive sweating. It can be debilitating to those who suffer from it, and can lead to embarrassment and low self-esteem. Luckily, there are treatments available that can help you achieve a more normal lifestyle.

Botox is one of the most popular ways to treat hyperhidrosis, and has been shown in clinical studies to reduce sweating by up to 50%. But how much does botox cost? And how do you bill botox for hyperhidrosis?

Treating hyperhidrosis with botox is usually done in two sessions: one session for each armpit. The first session involves injecting about 25 units of botulinum toxin into each armpit. The second session involves injecting about 25 units into each armpit again, three months later.

For insurance companies, this means that they will only cover half of the cost of your treatment – 75% if you have high deductibles or coinsurance plans. To make sure your insurance company pays for as much of your treatment as possible, make sure you get an itemized receipt from your provider every time they inject you with botox!

How to bill botox for hyperhidrosis


I am looking to get certified to bill for Botox for the treatment of hyperhidrosis. I found this CPT code 65466, but that is for when it’s injected into the spine. Can you direct me in the right direction? Thank you!


The code for botox is 65466.

The code for axillary hyperhidrosis is 65530.

The code for hyperhidrosis is 65506.

Great info on billing

In case you’re curious, the ICD-10 code for hyperhidrosis is “H91.9.” It’s not a CPT code, but it’s still possible to bill botulinum toxin injections for axillary hyperhidrosis.

The CPT codes used for botox treatments are:

Botulinum Toxin Type A Injection(s) D0601 – D0602 (Multiple Modalities) Botulinum Toxin Type A Injection(s) D0601 – D0602 (Multiple Modality); Head/Neck; Each Additional Level; With CT Scan or MRI Monitoring (List separately in addition to code above if applicable),  Per Level – Each injection site should be coded with its own line item on the bill.


This is where we wrap up the blog post.

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