Abstract Committee Review

CPT should be explained the first time it is used. The examples are quite confusing and one does not understand why the author might want to use  a code of a different disease for obtaining coverage. Furthermore frontal headaches and temporal headaches are description of a symptom, not a clinical entity. If Botox has indication for chronic migraine it should be used for people having chronic migraine, not for those reporting frontal headaches.

A correct diagnosis is the basis for the proper use of drugs

My responses below are listed below:

CPT should be explained the first time it is used.
Now explained: CPT (Current Procedural Terminology).

The examples are quite confusing, and one does not understand why the author might want to use a code of a different disease for obtaining coverage.
                Agree, it was meant to highlight the need for an additional code. I have tried to
clarify it in the revision.

Furthermore, frontal headaches and temporal headaches are description of a symptom, not a clinical entity. If Botox has indication for chronic migraine, it should be used for people having chronic migraine, not for those reporting frontal headaches.
Agree, I have omitted Frontal Headache and Temporal Headaches to make the
abstract less confusing.

A correct diagnosis is the basis for the proper use of drugs.
                 Agree, this is especially the case for Thoracic Outlet Syndrome, which needs a
specific code so both the Scalenes and Pec Minor can be bundled, and not requiring
two separate codes including a diagnosis of cervical dystonia (for the Scalenes).

• Yes

I have serious difficulties in understanding this abstract (see my commennts to the Authors below) and I am inclined to reject it. However I have no experience with CPT coding, therefore I would appreciate the assessment by a colleague who is familiar with the procedure.

Comments to the Authors

CPT should be explained the first time it is used. The examples are quite confusing and one does not understand why the author might want to use  a code of a different disease for obtaining coverage. Furthermore frontal headaches and temporal headaches are description of a symptom, not a clinical entity. If Botox has indication for chronic migraine it should be used for people having chronic migraine, not for those reporting frontal headaches.

A correct diagnosis is the basis for the proper use of drugs