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D0 change dates of service D1 change charges D2 change revenue/HCPCS code D7 Change to make Medicare secondary D8 Change to make Medicare primary D9* Other/multiple changes E0 change patient status * Adjustments (type of bill XX7 or XXQ) will go to the Return to Provider (RTP) file when the Claim Change Reason Code D2 is reported indicating a change is being made to a revenue code/HCPCS code

Botox can be given on the unaffected side to relax the muscles, smooth wrinkles, and lessen movement, making them look more in tune with the impacted, weaker side

It is usually given intramuscularly (IM), but IV use may occur in hospitals

Follow these guidelines: Use up to three times a week with at least 24 hours between doses