CPT code 64642: Chemodenervation, one extremity, 1–4 muscles2026 Medicare rate & RVUs in San Benito County, CA

Reports botulinum toxin chemodenervation of one extremity when treatment targets one to four muscles, commonly for focal spasticity or dystonia.

CMS RVU26DEffective Oct 1, 2026One payment locality44.8K Medicare services in 2024

In San Benito County, CA, Medicare pays $205.87 for 64642 in the office and $109.06 when it’s performed in a hospital or facility.

$205.87Office (non-facility)
$109.06Hospital or facility
+26.0%vs the national office rate ($163.33)

Check a contract rate as a % of Medicare · 64642 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 64642 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in San Benito County, CA
  2. What 64642 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 64642 covers

A clinician injects a chemodenervating agent, commonly botulinum toxin, into one to four muscles in a single arm or leg. Neurologists and physical medicine and rehabilitation physicians commonly perform this treatment for focal spasticity, such as after stroke or in cerebral palsy, and for focal dystonia. Services may occur in an office or outpatient hospital. The code represents the treated extremity and muscle-count range, not the number of injection sites or the amount of drug administered.

Document the treated extremity, each muscle injected, and the condition being treated. For another extremity in the same one-to-four-muscle range, report the additional-extremity code 64643 rather than modifier 50. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery reporting 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 San Benito County, CA compares for 64642

Across 109 of 109 payment localities, the office rate for 64642 runs from $143.40 in Arkansas to $205.87 in San Benito County, CA. San Benito County, CA pays $205.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

64642 in San Benito County, CA vs other payment areas
  1. San Benito County, CA · this page$205.87
  2. Bakersfield, CA · California$168.53−$37.34
  3. Chico, CA · California$167.47−$38.40
  4. El Centro, CA · California$167.53−$38.34
  5. Fresno, CA · California$167.47−$38.40
  6. Hanford, CA · California$167.47−$38.40
  7. Los Angeles, CA · California$178.82−$27.05

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

64642 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$167.47$93.89
Merced, CACalifornia$167.47$93.89
Modesto, CACalifornia$167.47$93.89
Napa, CACalifornia$191.01$102.52
Oxnard, CACalifornia$177.49$98.14
Redding, CACalifornia$167.47$93.89
Rest of CaliforniaCalifornia$167.47$93.89
Riverside, CACalifornia$171.65$98.07

64642 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.

$143.40

$190.64

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
64642 office rate range by state
State / territoryOffice rate rangeLocalities
AK$190.641
AL$145.611
AR$143.401
AZ$158.461
CA$167.47–$205.8729
CO$167.301
CT$174.571
DC$184.891
DE$161.131
FL$165.64–$187.213
GA$155.41–$167.652
GU$171.071
HI$171.071
IA$147.271
ID$148.741
IL$162.27–$181.064
IN$149.591
KS$147.601
KY$151.511
LA$151.68–$159.412
MA$166.66–$182.832
MD$163.96–$184.893
ME$150.68–$157.652
MI$156.61–$168.892
MN$156.961
MO$149.67–$158.723
MS$146.511
MT$163.301
NC$152.161
ND$155.591
NE$147.801
NH$165.661
NJ$175.63–$183.052
NM$157.941
NV$161.251
NY$154.64–$196.185
OH$155.041
OK$150.101
OR$159.08–$171.572
PA$154.70–$170.772
PR$164.201
RI$166.131
SC$154.041
SD$154.681
TN$148.521
TX$153.72–$167.988
UT$156.211
VA$157.86–$184.892
VI$164.201
VT$155.931
WA$166.03–$185.552
WI$150.261
WV$156.301
WY$159.941

See 64642 in every payment locality

How the 64642 rate is calculated

Each of 64642’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 · 64642

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.61

1.61 RVUs× 1.000 GPCI

Practice expense2.89

2.89 RVUs× 1.000 GPCI

Malpractice0.39

0.39 RVUs× 1.000 GPCI

Adjusted RVUs

4.8900

Conversion factor

$33.4009

Medicare rate

$163.33

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact San Benito County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,185

Code
64642
Physician work
1.61
Practice expense
2.89
Malpractice
0.39

GPCI2026.csv

26

Locality
San Benito County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.536
Office calculation for 64642 in San Benito County, CA
ComponentRVULocality factorAdjusted
Physician work1.61× 1.1101.7871
Practice expense2.89× 1.4424.1674
Malpractice0.39× 0.5360.2090
Total RVUs6.1635
Conversion factor× 33.4009

Office rate, San Benito County, CA$205.87

Office: (1.61 × 1.11 + 2.89 × 1.442 + 0.39 × 0.536) × $33.4009 = $205.87

Facility: (1.61 × 1.11 + 0.88 × 1.442 + 0.39 × 0.536) × $33.4009 = $109.06

Open 64642 in the RVU calculator

Payment rules and modifiers for 64642

The CMS indicators that decide how 64642 is paid alongside other services.

CMS payment indicators · 64642

Chemodenervation, one extremity, 1–4 muscles

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

64642 without 51 · national office

$163.33

Chemodenervation, one extremity, 1–4 muscles

64642-51 · Second procedure: 50%

$81.67

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 64642 has changed in San Benito County, CA

64642 · Office / nonfacility

$205.87

Effective 2026-10-01

The base rate is $19.88 higher than on 2025-10-01, moving from $185.99 to $205.87 (10.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $185.99changed to$205.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.65 changed to 1.61
    • Practice expense RVU 2.59 changed to 2.89
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $190.64changed to$185.99

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.57 changed to 2.59
    • Malpractice RVU 0.40 changed to 0.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $187.52changed to$190.64

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $187.26changed to$187.52

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.48 changed to 2.57
    • Malpractice RVU 0.38 changed to 0.40
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $189.33changed to$187.26

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $180.36changed to$189.33

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.38 changed to 2.48
    • Malpractice RVU 0.36 changed to 0.39
    • Work GPCI 1.084 changed to 1.096
    • Practice expense GPCI 1.330 changed to 1.383

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $172.25changed to$180.36

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.19 changed to 2.38
    • Malpractice RVU 0.35 changed to 0.36
    • Work GPCI 1.072 changed to 1.084
    • Practice expense GPCI 1.279 changed to 1.330
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $163.01changed to$172.25

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.12 changed to 2.19
    • Malpractice RVU 0.38 changed to 0.35
    • Work GPCI 1.052 changed to 1.072
    • Practice expense GPCI 1.214 changed to 1.279
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $157.33changed to$163.01

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.09 changed to 2.12
    • Work GPCI 1.041 changed to 1.052
    • Practice expense GPCI 1.167 changed to 1.214

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $150.86changed to$157.33

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.02 changed to 2.09
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.031 changed to 1.041
    • Practice expense GPCI 1.121 changed to 1.167
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$150.86

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2014

    RVU14A

    No ratechanged toNo rate

    Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

  13. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$205.87$109.06RVU26D
2026-07-01$205.87$109.06RVU26C
2026-04-01$205.87$109.06RVU26B
2026-01-01$205.87$109.06RVU26A
2025-10-01$185.99$121.01RVU25D
2025-07-01$185.99$121.01RVU25C
2025-04-01$185.99$121.01RVU25B
2025-01-01$185.99$121.01RVU25A
2024-10-01$190.64$123.76RVU24D
2024-07-01$190.64$123.76RVU24C
2024-04-01$190.64$123.76RVU24B
2024-03-09$190.64$123.76RVU24AR
2024-01-01$187.52$121.74RVU24A
2023-10-01$187.26$122.80RVU23D
2023-07-01$187.26$122.80RVU23C
2023-04-01$187.26$122.80RVU23B
2023-01-01$187.26$122.80RVU23A
2022-10-01$189.33$125.20RVU22D
2022-07-01$189.33$125.20RVU22C
2022-04-01$189.33$125.20RVU22B
2022-01-01$189.33$125.20RVU22A
2021-10-01$180.36$122.35RVU21D
2021-07-01$180.36$122.35RVU21C
2021-04-01$180.36$122.35RVU21B
2021-01-01$180.36$122.35RVU21A
2020-10-01$172.25$121.47RVU20D
2020-07-01$172.25$121.47RVU20C
2020-04-01$172.25$121.47RVU20B
2020-01-01$172.25$121.47RVU20A
2019-10-01$163.01$117.94RVU19D
2019-07-01$163.01$117.94RVU19C
2019-04-01$163.01$117.94RVU19B
2019-01-01$163.01$117.94RVU19A
2018-10-01$157.33$116.16RVU18D
2018-07-01$157.33$116.16RVU18C
2018-04-01$157.33$116.16RVU18B
2018-01-01$157.33$116.16RVU18AR1
2017-10-01$150.86$114.25RVU17D
2017-07-01$150.86$114.25RVU17C
2017-04-01$150.86$114.25RVU17B
2017-01-01$150.86$114.25RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 64642 for an earlier date of service

Where the San Benito County, CA rate applies

San Benito County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 5 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • 64642 in Aromas · multiple payment areas
  • Hollister
  • Ridgemark
  • San Juan Bautista
  • Tres Pinos

Browse all communities in California

64642 billing questions

Is 64642 reported per muscle or per extremity?

It represents one extremity treated in the one-to-four-muscle range. Document the individual muscles treated; do not count each muscle or injection site as a separate unit of 64642.

How should treatment of both arms or both legs be reported?

Report 64642 for one extremity and, when the additional extremity is treated in the same one-to-four-muscle range, report 64643 for that additional extremity. Do not use modifier 50.

When should 64644 be used instead?

Use 64644 when five or more muscles are treated in one extremity. The distinction is the number of muscles treated in that extremity, not the number of injection sites.

Are toxin units or injection sites counted as units of 64642?

No. The code is selected by the number of muscles treated in the extremity. Drug quantity and injection sites are not the basis for counting this procedure code.

What same-day care is included in 64642?

Medicare assigns a 0-day global period, which includes same-day preoperative and postoperative care. Other procedures performed in the same session are subject to the standard multiple-procedure reduction.

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
RVUs for 64642PPRRVU2026_Oct_nonQPP.csv, line 7,185 (RVU26D)
Geographic factors for San Benito County, CAGPCI2026.csv, line 26 (RVU26D)

Open CMS sourceHow we calculate rates

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