Treatment Overview

Treatment options available to patients with primary hyperhidrosis can be categorized as non-surgical (topical antiperspirants, iontophoresis, systemic medication) or surgical (endoscopic thoracic sympathectomy, excision of axillary tissue).[9] Botulinum toxin injection, which can be said to be “minimally invasive,”[99] has become a therapy for patients who fail to respond to more-conservative treatment prior to resorting to surgery.[29,99] The therapeutic alternatives also differ by duration of efficacy, side effects, and response rate in the various anatomic areas treated.[9,29,97]

Quick reference chart for ICD9 and CPT codes

For help with your office's insurance and reimbursement process we've recently developed a handy chart with the latest ICD-9 and CPT codes for hyperhidrosis and hyperhidrosis treatments. The chart is provided below or you can download a printable PDF now.

ICD9 Codes

• Primary Focal Hyperhidrosis: 705.21
• Secondary Hyperhidrosis: 705.22
• Generalized hyperhidrosis: 780.8

CPT Codes

for Treatment of Hyperhidrosis with Botulinum toxins:
• Face/Head Primary Hyperhidrosis: 64653 
• Plantar and/or Palmar Primary Hyperhidrosis: 64999 
(May require manual processing.)
• Axillary Primary Hyperhidrosis: 64650 
• Botulinum toxin: J0585 (Bill per unit of toxin, per axilla. If billing for >99 units, check to be sure system can accept/recognize 3-digits. If not, bill for 99 units, and then for the balance separately.)

CPT Codes for Treatment of Hyperhidrosis with Iontophoresis: 
• for each 15-minute session 97033