CPT code 64616: Neck chemodenervation, neck muscles, excluding larynx2026 Medicare rate & RVUs in Puerto Rico
Reports medication-induced weakening of neck muscles, commonly for cervical dystonia, when treatment targets neck muscles rather than laryngeal or other muscle groups.
In Puerto Rico, Medicare pays $144.22 for 64616 in the office and $99.65 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64616 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 64616 covers
This service involves injecting a medication such as botulinum toxin into neck muscles to reduce involuntary muscle activity. Neurologists, physiatrists, and other clinicians who treat movement disorders commonly perform it in an office or facility setting. Cervical dystonia, with involuntary neck contractions or abnormal head posture, is a typical indication. The code is for neck muscles and excludes laryngeal muscle treatment.
Select the code based on the treated anatomy and clinical service, not simply the injection location or number of injection sites. Document the indication, muscles treated, medication, and treatment details. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. For bilateral treatment, modifier 50 is paid at 150%. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Puerto Rico compares for 64616
Across 109 of 109 payment localities, the office rate for 64616 runs from $124.65 in Arkansas to $175.70 in NYC suburbs and Long Island, NY. Puerto Rico pays $144.22. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$144.22
- Los Angeles, CA · California$154.17+$9.95
- Washington, DC area · District of Columbia$161.93+$17.71
- Miami, FL · Florida$172.32+$28.10
- Chicago, IL · Illinois$165.99+$21.77
- Manhattan, NY · New York$169.09+$24.87
- Alaska · Alaska$166.02+$21.80
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $126.73 | $88.15 |
| ArkansasArkansas | $124.65 | $86.77 |
| ArizonaArizona | $138.83 | $96.10 |
| Bakersfield, CACalifornia | $145.45 | $97.12 |
| Chico, CACalifornia | $144.13 | $95.81 |
| El Centro, CACalifornia | $144.21 | $95.89 |
| Fresno, CACalifornia | $144.13 | $95.81 |
| Hanford, CACalifornia | $144.13 | $95.81 |
| Madera, CACalifornia | $144.13 | $95.81 |
| Merced, CACalifornia | $144.13 | $95.81 |
| Modesto, CACalifornia | $144.13 | $95.81 |
| Napa, CACalifornia | $163.08 | $104.97 |
| Oxnard, CACalifornia | $152.76 | $100.65 |
| Redding, CACalifornia | $144.13 | $95.81 |
| Rest of CaliforniaCalifornia | $144.13 | $95.81 |
| Riverside, CACalifornia | $149.47 | $101.15 |
| Sacramento, CACalifornia | $150.24 | $98.97 |
| Salinas, CACalifornia | $149.69 | $98.59 |
| San Diego, CACalifornia | $152.59 | $99.86 |
| Marin County, CACalifornia | $170.95 | $108.79 |
| San Francisco, CACalifornia | $170.38 | $108.22 |
| San Benito County, CACalifornia | $175.45 | $111.88 |
| Santa Clara County, CACalifornia | $173.13 | $109.55 |
| San Luis Obispo, CACalifornia | $147.45 | $97.23 |
| Santa Cruz, CACalifornia | $153.51 | $99.94 |
| Santa Maria, CACalifornia | $150.08 | $98.67 |
| Santa Rosa, CACalifornia | $154.96 | $100.82 |
| Stockton, CACalifornia | $144.13 | $95.81 |
| Vallejo, CACalifornia | $162.26 | $104.15 |
| Visalia, CACalifornia | $144.13 | $95.81 |
| Yuba City, CACalifornia | $144.13 | $95.81 |
| ColoradoColorado | $145.50 | $98.59 |
| ConnecticutConnecticut | $154.07 | $106.58 |
| DelawareDelaware | $141.26 | $97.70 |
| Fort Lauderdale, FLFlorida | $158.12 | $113.46 |
| Rest of FloridaFlorida | $148.63 | $106.48 |
| Atlanta, GAGeorgia | $148.36 | $103.57 |
| Rest of GeorgiaGeorgia | $138.50 | $99.17 |
| Hawaii, Guam, HIHawaii | $147.16 | $97.03 |
| IowaIowa | $127.00 | $86.65 |
| IdahoIdaho | $128.65 | $88.09 |
| East St. Louis, ILIllinois | $154.39 | $113.82 |
| Rest of IllinoisIllinois | $146.31 | $106.06 |
| Suburban Chicago, ILIllinois | $158.95 | $113.67 |
| IndianaIndiana | $129.41 | $88.54 |
| KansasKansas | $127.93 | $88.08 |
| KentuckyKentucky | $133.64 | $94.44 |
| New Orleans, LALouisiana | $141.34 | $99.85 |
| Rest of LouisianaLouisiana | $134.05 | $95.03 |
| Metropolitan Boston, MAMassachusetts | $158.80 | $106.15 |
| Rest of MassachusettsMassachusetts | $145.12 | $98.69 |
| Baltimore area, MDMaryland | $154.01 | $106.70 |
| Rest of MarylandMaryland | $143.68 | $99.06 |
| Rest of MaineMaine | $131.14 | $90.58 |
| Southern Maine, MEMaine | $136.77 | $93.07 |
| Detroit, MIMichigan | $152.38 | $109.83 |
| Rest of MichiganMichigan | $139.07 | $98.81 |
| MinnesotaMinnesota | $134.10 | $88.74 |
| Metropolitan Kansas City, MOMissouri | $138.53 | $97.13 |
| Metropolitan St. Louis, MOMissouri | $139.95 | $97.98 |
| Rest of MissouriMissouri | $132.54 | $94.54 |
| MississippiMississippi | $128.54 | $90.58 |
| MontanaMontana | $143.59 | $99.50 |
| North CarolinaNorth Carolina | $132.43 | $91.29 |
| North DakotaNorth Dakota | $133.70 | $89.61 |
| NebraskaNebraska | $127.30 | $86.60 |
| New HampshireNew Hampshire | $144.70 | $98.80 |
| Northern New JerseyNew Jersey | $160.24 | $109.10 |
| Rest of New JerseyNew Jersey | $154.33 | $106.19 |
| New MexicoNew Mexico | $140.58 | $100.15 |
| NevadaNevada | $140.91 | $96.78 |
| NYC suburbs and Long Island, NYNew York | $175.70 | $123.28 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $156.70 | $108.42 |
| Queens, NYNew York | $168.23 | $116.12 |
| Rest of New YorkNew York | $134.81 | $92.92 |
| OhioOhio | $137.04 | $96.79 |
| OklahomaOklahoma | $131.64 | $92.27 |
| Portland, OROregon | $148.71 | $99.73 |
| Rest of OregonOregon | $138.36 | $94.44 |
| Metropolitan Philadelphia, PAPennsylvania | $150.91 | $105.01 |
| Rest of PennsylvaniaPennsylvania | $136.38 | $95.90 |
| Rhode IslandRhode Island | $145.31 | $99.77 |
| South CarolinaSouth Carolina | $135.25 | $94.52 |
| South DakotaSouth Dakota | $132.53 | $88.45 |
| TennesseeTennessee | $128.87 | $88.79 |
| Austin, TXTexas | $146.29 | $99.65 |
| Beaumont, TXTexas | $135.49 | $95.37 |
| Brazoria, TXTexas | $139.65 | $95.96 |
| Dallas, TXTexas | $141.39 | $97.48 |
| Fort Worth, TXTexas | $140.84 | $97.37 |
| Galveston, TXTexas | $140.61 | $96.83 |
| Houston, TXTexas | $149.76 | $105.98 |
| Rest of TexasTexas | $138.07 | $96.23 |
| UtahUtah | $137.29 | $95.85 |
| VirginiaVirginia | $137.40 | $94.06 |
| Virgin Islands, VIUnited States Virgin Islands | $144.22 | $99.65 |
| VermontVermont | $134.60 | $90.95 |
| Rest of WashingtonWashington | $144.37 | $97.94 |
| King County, WAWashington | $160.57 | $106.47 |
| WisconsinWisconsin | $128.83 | $86.59 |
| West VirginiaWest Virginia | $140.71 | $102.40 |
| WyomingWyoming | $139.28 | $95.19 |
64616 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$124.65
$166.02
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $166.02 | 1 |
| AL | $126.73 | 1 |
| AR | $124.65 | 1 |
| AZ | $138.83 | 1 |
| CA | $144.13–$175.45 | 29 |
| CO | $145.50 | 1 |
| CT | $154.07 | 1 |
| DC | $161.93 | 1 |
| DE | $141.26 | 1 |
| FL | $148.63–$172.32 | 3 |
| GA | $138.50–$148.36 | 2 |
| GU | $147.16 | 1 |
| HI | $147.16 | 1 |
| IA | $127.00 | 1 |
| ID | $128.65 | 1 |
| IL | $146.31–$165.99 | 4 |
| IN | $129.41 | 1 |
| KS | $127.93 | 1 |
| KY | $133.64 | 1 |
| LA | $134.05–$141.34 | 2 |
| MA | $145.12–$158.80 | 2 |
| MD | $143.68–$161.93 | 3 |
| ME | $131.14–$136.77 | 2 |
| MI | $139.07–$152.38 | 2 |
| MN | $134.10 | 1 |
| MO | $132.54–$139.95 | 3 |
| MS | $128.54 | 1 |
| MT | $143.59 | 1 |
| NC | $132.43 | 1 |
| ND | $133.70 | 1 |
| NE | $127.30 | 1 |
| NH | $144.70 | 1 |
| NJ | $154.33–$160.24 | 2 |
| NM | $140.58 | 1 |
| NV | $140.91 | 1 |
| NY | $134.81–$175.70 | 5 |
| OH | $137.04 | 1 |
| OK | $131.64 | 1 |
| OR | $138.36–$148.71 | 2 |
| PA | $136.38–$150.91 | 2 |
| PR | $144.22 | 1 |
| RI | $145.31 | 1 |
| SC | $135.25 | 1 |
| SD | $132.53 | 1 |
| TN | $128.87 | 1 |
| TX | $135.49–$149.76 | 8 |
| UT | $137.29 | 1 |
| VA | $137.40–$161.93 | 2 |
| VI | $144.22 | 1 |
| VT | $134.60 | 1 |
| WA | $144.37–$160.57 | 2 |
| WI | $128.83 | 1 |
| WV | $140.71 | 1 |
| WY | $139.28 | 1 |
How the 64616 rate is calculated
Each of 64616’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 64616
RVUs × geographic indexes × conversion factor
Work1.49
1.49 RVUs× 1.000 GPCI
Practice expense2.31
2.31 RVUs× 1.000 GPCI
Malpractice0.50
0.50 RVUs× 1.000 GPCI
Adjusted RVUs
4.3000
Conversion factor
$33.4009
Medicare rate
$143.62
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,171
- Code
- 64616
- Physician work
- 1.49
- Practice expense
- 2.31
- Malpractice
- 0.50
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.49 | × 1.000 | 1.4900 |
| Practice expense | 2.31 | × 1.011 | 2.3354 |
| Malpractice | 0.50 | × 0.985 | 0.4925 |
| Total RVUs | 4.3179 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$144.22
Office: (1.49 × 1 + 2.31 × 1.011 + 0.5 × 0.985) × $33.4009 = $144.22
Facility: (1.49 × 1 + 0.99 × 1.011 + 0.5 × 0.985) × $33.4009 = $99.65
Payment rules and modifiers for 64616
64616 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 64616
Neck chemodenervation, neck muscles, excluding larynx
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 64616
Neck chemodenervation, neck muscles, excluding larynx
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
64616 without 50 · national office
$143.62
Neck chemodenervation, neck muscles, excluding larynx
64616-50 · Bilateral: 150%
$215.43
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 64616 has changed in Puerto Rico
64616 · Office / nonfacility
$144.22
Effective 2026-10-01
The base rate is $8.51 higher than on 2025-10-01, moving from $135.71 to $144.22 (6.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$135.71changed to$144.22
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.53 changed to 1.49
- Practice expense RVU 2.14 changed to 2.31
- Malpractice RVU 0.52 changed to 0.50
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$139.66changed to$135.71
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$137.38changed to$139.66
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$139.56changed to$137.38
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.07 changed to 2.14
- Malpractice RVU 0.51 changed to 0.52
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$139.28changed to$139.56
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$142.22changed to$139.28
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.50 changed to 0.51
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$139.90changed to$142.22
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.00 changed to 2.07
- Malpractice RVU 0.47 changed to 0.50
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$138.18changed to$139.90
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.81 changed to 2.00
- Malpractice RVU 0.48 changed to 0.47
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$137.20changed to$138.18
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.75 changed to 1.81
- Malpractice RVU 0.52 changed to 0.48
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$134.88changed to$137.20
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.69 changed to 1.75
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$116.04changed to$134.88
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.60 changed to 1.69
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$100.01changed to$116.04
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.58 changed to 1.60
- Malpractice RVU 0.51 changed to 0.52
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$99.26changed to$100.01
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.54 changed to 1.58
- Malpractice RVU 0.50 changed to 0.51
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$98.76changed to$99.26
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$96.66changed to$98.76
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.52 changed to 1.54
- Malpractice RVU 0.43 changed to 0.50
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$96.66
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $144.22 | $99.65 | RVU26D |
| 2026-07-01 | $144.22 | $99.65 | RVU26C |
| 2026-04-01 | $144.22 | $99.65 | RVU26B |
| 2026-01-01 | $144.22 | $99.65 | RVU26A |
| 2025-10-01 | $135.71 | $107.70 | RVU25D |
| 2025-07-01 | $135.71 | $107.70 | RVU25C |
| 2025-04-01 | $135.71 | $107.70 | RVU25B |
| 2025-01-01 | $135.71 | $107.70 | RVU25A |
| 2024-10-01 | $139.66 | $110.16 | RVU24D |
| 2024-07-01 | $139.66 | $110.16 | RVU24C |
| 2024-04-01 | $139.66 | $110.16 | RVU24B |
| 2024-03-09 | $139.66 | $110.16 | RVU24AR |
| 2024-01-01 | $137.38 | $108.37 | RVU24A |
| 2023-10-01 | $139.56 | $110.18 | RVU23D |
| 2023-07-01 | $139.28 | $110.13 | RVU23C |
| 2023-04-01 | $139.28 | $110.13 | RVU23B |
| 2023-01-01 | $139.28 | $110.13 | RVU23A |
| 2022-10-01 | $142.22 | $111.87 | RVU22D |
| 2022-07-01 | $142.22 | $111.87 | RVU22C |
| 2022-04-01 | $142.22 | $111.87 | RVU22B |
| 2022-01-01 | $142.22 | $111.87 | RVU22A |
| 2021-10-01 | $139.90 | $111.41 | RVU21D |
| 2021-07-01 | $139.90 | $111.41 | RVU21C |
| 2021-04-01 | $139.90 | $111.41 | RVU21B |
| 2021-01-01 | $139.90 | $111.41 | RVU21A |
| 2020-10-01 | $138.18 | $113.44 | RVU20D |
| 2020-07-01 | $138.18 | $113.44 | RVU20C |
| 2020-04-01 | $138.18 | $113.44 | RVU20B |
| 2020-01-01 | $138.18 | $113.44 | RVU20A |
| 2019-10-01 | $137.20 | $114.70 | RVU19D |
| 2019-07-01 | $137.20 | $114.70 | RVU19C |
| 2019-04-01 | $137.20 | $114.70 | RVU19B |
| 2019-01-01 | $137.20 | $114.70 | RVU19A |
| 2018-10-01 | $134.88 | $114.94 | RVU18D |
| 2018-07-01 | $134.88 | $114.94 | RVU18C |
| 2018-04-01 | $134.88 | $114.94 | RVU18B |
| 2018-01-01 | $134.88 | $114.94 | RVU18AR1 |
| 2017-10-01 | $116.04 | $101.61 | RVU17D |
| 2017-07-01 | $116.04 | $101.61 | RVU17C |
| 2017-04-01 | $116.04 | $101.61 | RVU17B |
| 2017-01-01 | $116.04 | $101.61 | RVU17A |
| 2016-10-01 | $100.01 | $88.15 | RVU16D |
| 2016-07-01 | $100.01 | $88.15 | RVU16C |
| 2016-04-01 | $100.01 | $88.15 | RVU16B |
| 2016-01-01 | $100.01 | $88.15 | RVU16A |
| 2015-10-01 | $99.26 | $87.86 | RVU15D |
| 2015-07-01 | $99.26 | $87.86 | RVU15C |
| 2015-04-01 | $98.76 | $87.42 | RVU15B |
| 2015-01-01 | $98.76 | $87.42 | RVU15A |
| 2014-10-01 | $96.66 | $86.50 | RVU14D |
| 2014-07-01 | $96.66 | $86.50 | RVU14C |
| 2014-04-01 | $96.66 | $86.50 | RVU14B |
| 2014-01-01 | $96.66 | $86.50 | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
64616 billing questions
When should this code be chosen instead of 64615?
Use 64616 for treatment directed at neck muscles, commonly for cervical dystonia. Code 64615 is for chemodenervation directed at muscles for chronic migraine treatment.
Can this code be used for injections into laryngeal muscles?
No. Laryngeal muscle treatment is reported with 64617, which identifies laryngeal chemodenervation with EMG guidance.
How is bilateral treatment reported?
Report modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.
Are follow-up visits included?
Related postoperative visits during the 10-day global period are included in the procedure.
What documentation supports reporting this code?
Document the clinical indication, the neck muscles treated, the medication administered, and the treatment performed. The record should distinguish neck treatment from laryngeal, facial, or extremity muscle treatment.
How does CMS handle this code when other procedures are performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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