CPT code 64646: Muscle chemodenervation, trunk, one to five muscles2026 Medicare rate & RVUs in Houston, TX
Reports botulinum toxin chemodenervation of one to five trunk muscles to manage focal muscle overactivity, such as truncal spasticity or dystonia.
In Houston, TX, Medicare pays $176.17 for 64646 in the office and $110.17 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 64646 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 64646 covers
A clinician injects a chemodenervating agent, commonly botulinum toxin, into one to five trunk muscles to reduce focal overactivity. Neurologists, physiatrists, and other clinicians who treat spasticity or dystonia may perform the service in an office or outpatient procedure setting. Trunk targets can include paraspinal or abdominal muscles; this code is not for injections into limb muscles or eccrine glands.
Select the code by the number of distinct trunk muscles treated during the session, not by the number of injection sites or toxin units. Document the treated muscles, clinical indication, and injection details. Use the six-or-more-muscle trunk code when that threshold is reached. The service has 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 others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily 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 Houston, TX compares for 64646
Across 109 of 109 payment localities, the office rate for 64646 runs from $149.10 in Arkansas to $211.59 in San Benito County, CA. Houston, TX pays $176.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Houston, TX · this page$176.17
- Austin, TX · Texas$174.18−$1.99
- Beaumont, TX · Texas$160.61−$15.56
- Brazoria, TX · Texas$166.43−$9.74
- Dallas, TX · Texas$168.21−$7.96
- Fort Worth, TX · Texas$167.47−$8.70
- Galveston, TX · Texas$167.39−$8.78
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $163.92 | $100.84 |
| Los Angeles, CACalifornia | $184.85 | $106.22 |
| Washington, DC areaDistrict of Columbia | $192.33 | $114.04 |
| Miami, FLFlorida | $198.77 | $129.58 |
| Chicago, ILIllinois | $192.00 | $125.20 |
| Manhattan, NYNew York | $198.98 | $121.74 |
| AlaskaAlaska | $198.75 | $127.96 |
| AlabamaAlabama | $151.45 | $93.29 |
| ArkansasArkansas | $149.10 | $92.00 |
| ArizonaArizona | $165.07 | $100.67 |
| Bakersfield, CACalifornia | $174.36 | $101.51 |
| Chico, CACalifornia | $173.08 | $100.23 |
| El Centro, CACalifornia | $173.16 | $100.31 |
| Fresno, CACalifornia | $173.08 | $100.23 |
| Hanford, CACalifornia | $173.08 | $100.23 |
| Madera, CACalifornia | $173.08 | $100.23 |
| Merced, CACalifornia | $173.08 | $100.23 |
| Modesto, CACalifornia | $173.08 | $100.23 |
| Napa, CACalifornia | $196.54 | $108.93 |
| Oxnard, CACalifornia | $183.33 | $104.77 |
| Redding, CACalifornia | $173.08 | $100.23 |
| Rest of CaliforniaCalifornia | $173.08 | $100.23 |
| Riverside, CACalifornia | $178.22 | $105.37 |
| Sacramento, CACalifornia | $180.59 | $103.29 |
| Salinas, CACalifornia | $179.92 | $102.88 |
| San Diego, CACalifornia | $183.49 | $103.99 |
| Marin County, CACalifornia | $206.42 | $112.70 |
| San Francisco, CACalifornia | $205.88 | $112.16 |
| San Benito County, CACalifornia | $211.59 | $115.75 |
| Santa Clara County, CACalifornia | $209.37 | $113.52 |
| San Luis Obispo, CACalifornia | $177.18 | $101.48 |
| Santa Cruz, CACalifornia | $184.68 | $103.92 |
| Santa Maria, CACalifornia | $180.41 | $102.91 |
| Santa Rosa, CACalifornia | $186.45 | $104.83 |
| Stockton, CACalifornia | $173.08 | $100.23 |
| Vallejo, CACalifornia | $195.75 | $108.15 |
| Visalia, CACalifornia | $173.08 | $100.23 |
| Yuba City, CACalifornia | $173.08 | $100.23 |
| ColoradoColorado | $173.65 | $102.93 |
| ConnecticutConnecticut | $182.24 | $110.66 |
| DelawareDelaware | $167.87 | $102.20 |
| Fort Lauderdale, FLFlorida | $184.54 | $117.21 |
| Rest of FloridaFlorida | $174.21 | $110.66 |
| Atlanta, GAGeorgia | $175.27 | $107.74 |
| Rest of GeorgiaGeorgia | $163.11 | $103.82 |
| Hawaii, Guam, HIHawaii | $176.68 | $101.11 |
| IowaIowa | $152.56 | $91.74 |
| IdahoIdaho | $154.25 | $93.10 |
| East St. Louis, ILIllinois | $178.96 | $117.81 |
| Rest of IllinoisIllinois | $171.06 | $110.37 |
| Suburban Chicago, ILIllinois | $185.71 | $117.45 |
| IndianaIndiana | $155.13 | $93.51 |
| KansasKansas | $153.22 | $93.14 |
| KentuckyKentucky | $158.38 | $99.29 |
| New Orleans, LALouisiana | $166.89 | $104.34 |
| Rest of LouisianaLouisiana | $158.69 | $99.86 |
| Metropolitan Boston, MAMassachusetts | $189.52 | $110.16 |
| Rest of MassachusettsMassachusetts | $173.09 | $103.10 |
| Baltimore area, MDMaryland | $182.06 | $110.74 |
| Rest of MarylandMaryland | $170.76 | $103.50 |
| Rest of MaineMaine | $156.64 | $95.49 |
| Southern Maine, MEMaine | $163.57 | $97.70 |
| Detroit, MIMichigan | $178.00 | $113.86 |
| Rest of MichiganMichigan | $164.10 | $103.42 |
| MinnesotaMinnesota | $161.83 | $93.43 |
| Metropolitan Kansas City, MOMissouri | $164.15 | $101.74 |
| Metropolitan St. Louis, MOMissouri | $165.79 | $102.51 |
| Rest of MissouriMissouri | $156.75 | $99.45 |
| MississippiMississippi | $152.88 | $95.65 |
| MontanaMontana | $170.31 | $103.84 |
| North CarolinaNorth Carolina | $158.16 | $96.14 |
| North DakotaNorth Dakota | $160.82 | $94.35 |
| NebraskaNebraska | $153.02 | $91.67 |
| New HampshireNew Hampshire | $172.26 | $103.06 |
| Northern New JerseyNew Jersey | $190.42 | $113.32 |
| Rest of New JerseyNew Jersey | $183.04 | $110.46 |
| New MexicoNew Mexico | $165.64 | $104.69 |
| NevadaNevada | $167.76 | $101.23 |
| NYC suburbs and Long Island, NYNew York | $205.90 | $126.87 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $185.43 | $112.65 |
| Queens, NYNew York | $198.58 | $120.01 |
| Rest of New YorkNew York | $160.81 | $97.66 |
| OhioOhio | $162.16 | $101.48 |
| OklahomaOklahoma | $156.55 | $97.19 |
| Portland, OROregon | $177.78 | $103.94 |
| Rest of OregonOregon | $165.20 | $99.00 |
| Metropolitan Philadelphia, PAPennsylvania | $178.41 | $109.22 |
| Rest of PennsylvaniaPennsylvania | $161.63 | $100.61 |
| Puerto RicoPuerto Rico | $171.15 | $103.96 |
| Rhode IslandRhode Island | $172.88 | $104.22 |
| South CarolinaSouth Carolina | $160.68 | $99.26 |
| South DakotaSouth Dakota | $159.70 | $93.23 |
| TennesseeTennessee | $154.23 | $93.81 |
| UtahUtah | $162.98 | $100.50 |
| VirginiaVirginia | $164.01 | $98.67 |
| Virgin Islands, VIUnited States Virgin Islands | $171.15 | $103.96 |
| VermontVermont | $161.47 | $95.67 |
| Rest of WashingtonWashington | $172.34 | $102.35 |
| King County, WAWashington | $192.03 | $110.48 |
| WisconsinWisconsin | $155.24 | $91.56 |
| West VirginiaWest Virginia | $164.74 | $106.98 |
| WyomingWyoming | $166.18 | $99.71 |
64646 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.
$149.10
$198.75
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 | $198.75 | 1 |
| AL | $151.45 | 1 |
| AR | $149.10 | 1 |
| AZ | $165.07 | 1 |
| CA | $173.08–$211.59 | 29 |
| CO | $173.65 | 1 |
| CT | $182.24 | 1 |
| DC | $192.33 | 1 |
| DE | $167.87 | 1 |
| FL | $174.21–$198.77 | 3 |
| GA | $163.11–$175.27 | 2 |
| GU | $176.68 | 1 |
| HI | $176.68 | 1 |
| IA | $152.56 | 1 |
| ID | $154.25 | 1 |
| IL | $171.06–$192.00 | 4 |
| IN | $155.13 | 1 |
| KS | $153.22 | 1 |
| KY | $158.38 | 1 |
| LA | $158.69–$166.89 | 2 |
| MA | $173.09–$189.52 | 2 |
| MD | $170.76–$192.33 | 3 |
| ME | $156.64–$163.57 | 2 |
| MI | $164.10–$178.00 | 2 |
| MN | $161.83 | 1 |
| MO | $156.75–$165.79 | 3 |
| MS | $152.88 | 1 |
| MT | $170.31 | 1 |
| NC | $158.16 | 1 |
| ND | $160.82 | 1 |
| NE | $153.02 | 1 |
| NH | $172.26 | 1 |
| NJ | $183.04–$190.42 | 2 |
| NM | $165.64 | 1 |
| NV | $167.76 | 1 |
| NY | $160.81–$205.90 | 5 |
| OH | $162.16 | 1 |
| OK | $156.55 | 1 |
| OR | $165.20–$177.78 | 2 |
| PA | $161.63–$178.41 | 2 |
| PR | $171.15 | 1 |
| RI | $172.88 | 1 |
| SC | $160.68 | 1 |
| SD | $159.70 | 1 |
| TN | $154.23 | 1 |
| TX | $160.61–$176.17 | 8 |
| UT | $162.98 | 1 |
| VA | $164.01–$192.33 | 2 |
| VI | $171.15 | 1 |
| VT | $161.47 | 1 |
| WA | $172.34–$192.03 | 2 |
| WI | $155.24 | 1 |
| WV | $164.74 | 1 |
| WY | $166.18 | 1 |
How the 64646 rate is calculated
Each of 64646’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 · 64646
RVUs × geographic indexes × conversion factor
Work1.76
1.76 RVUs× 1.000 GPCI
Practice expense2.86
2.86 RVUs× 1.000 GPCI
Malpractice0.48
0.48 RVUs× 1.000 GPCI
Adjusted RVUs
5.1000
Conversion factor
$33.4009
Medicare rate
$170.34
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Houston, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
7,189
- Code
- 64646
- Physician work
- 1.76
- Practice expense
- 2.86
- Malpractice
- 0.48
GPCI2026.csv
102
- Locality
- Houston, TX
- Physician work
- 1.008
- Practice expense
- 0.993
- Malpractice
- 1.376
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.008 | 1.7741 |
| Practice expense | 2.86 | × 0.993 | 2.8400 |
| Malpractice | 0.48 | × 1.376 | 0.6605 |
| Total RVUs | 5.2745 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Houston, TX$176.17
Office: (1.76 × 1.008 + 2.86 × 0.993 + 0.48 × 1.376) × $33.4009 = $176.17
Facility: (1.76 × 1.008 + 0.87 × 0.993 + 0.48 × 1.376) × $33.4009 = $110.17
Payment rules and modifiers for 64646
The CMS indicators that decide how 64646 is paid alongside other services.
CMS payment indicators · 64646
Muscle chemodenervation, trunk, one to five muscles
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
64646 without 51 · national office
$170.34
Muscle chemodenervation, trunk, one to five muscles
64646-51 · Second procedure: 50%
$85.17
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%).
How 64646 has changed in Houston, TX
64646 · Office / nonfacility
$176.17
Effective 2026-10-01
The base rate is $10.31 higher than on 2025-10-01, moving from $165.86 to $176.17 (6.2%).
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
$165.86changed to$176.17
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.80 changed to 1.76
- Practice expense RVU 2.59 changed to 2.86
- Malpractice RVU 0.50 changed to 0.48
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.003 changed to 0.993
- Malpractice GPCI 1.409 changed to 1.376
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$169.88changed to$165.86
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.58 changed to 2.59
- Malpractice RVU 0.49 changed to 0.50
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$167.11changed to$169.88
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$167.29changed to$167.11
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.49 changed to 2.58
- Work GPCI 1.023 changed to 1.014
- Practice expense GPCI 1.016 changed to 1.003
- Malpractice GPCI 1.154 changed to 1.409
January 1, 2023
RVU23A
$165.99changed to$167.29
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.48 changed to 2.49
- Malpractice RVU 0.43 changed to 0.49
- Work GPCI 1.032 changed to 1.023
- Practice expense GPCI 1.029 changed to 1.016
- Malpractice GPCI 0.900 changed to 1.154
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$164.13changed to$165.99
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.39 changed to 2.48
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$161.22changed to$164.13
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.20 changed to 2.39
- Malpractice RVU 0.41 changed to 0.43
- Work GPCI 1.026 changed to 1.032
- Practice expense GPCI 1.020 changed to 1.029
- Malpractice GPCI 0.918 changed to 0.900
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$157.99changed to$161.22
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.12 changed to 2.20
- Malpractice RVU 0.43 changed to 0.41
- Work GPCI 1.020 changed to 1.026
- Practice expense GPCI 1.012 changed to 1.020
- Malpractice GPCI 0.936 changed to 0.918
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$155.97changed to$157.99
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.06 changed to 2.12
- Malpractice RVU 0.44 changed to 0.43
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$153.98changed to$155.97
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.02 changed to 2.06
- Practice expense GPCI 1.009 changed to 1.012
- Malpractice GPCI 0.946 changed to 0.936
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$154.93changed to$153.98
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 2.07 changed to 2.02
- Malpractice RVU 0.43 changed to 0.44
- Work GPCI 1.019 changed to 1.020
- Practice expense GPCI 1.006 changed to 1.009
- Malpractice GPCI 0.955 changed to 0.946
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$158.73changed to$154.93
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 2.15 changed to 2.07
- Malpractice RVU 0.44 changed to 0.43
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$157.94changed to$158.73
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$152.73changed to$157.94
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 2.12 changed to 2.15
- Malpractice RVU 0.33 changed to 0.44
- Work GPCI 1.014 changed to 1.019
- Practice expense GPCI 1.004 changed to 1.006
- Malpractice GPCI 0.939 changed to 0.955
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$152.73
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 | $176.17 | $110.17 | RVU26D |
| 2026-07-01 | $176.17 | $110.17 | RVU26C |
| 2026-04-01 | $176.17 | $110.17 | RVU26B |
| 2026-01-01 | $176.17 | $110.17 | RVU26A |
| 2025-10-01 | $165.86 | $121.41 | RVU25D |
| 2025-07-01 | $165.86 | $121.41 | RVU25C |
| 2025-04-01 | $165.86 | $121.41 | RVU25B |
| 2025-01-01 | $165.86 | $121.41 | RVU25A |
| 2024-10-01 | $169.88 | $123.80 | RVU24D |
| 2024-07-01 | $169.88 | $123.80 | RVU24C |
| 2024-04-01 | $169.88 | $123.80 | RVU24B |
| 2024-03-09 | $169.88 | $123.80 | RVU24AR |
| 2024-01-01 | $167.11 | $121.78 | RVU24A |
| 2023-10-01 | $167.29 | $121.50 | RVU23D |
| 2023-07-01 | $167.29 | $121.50 | RVU23C |
| 2023-04-01 | $167.29 | $121.50 | RVU23B |
| 2023-01-01 | $167.29 | $121.50 | RVU23A |
| 2022-10-01 | $165.99 | $119.34 | RVU22D |
| 2022-07-01 | $165.99 | $119.34 | RVU22C |
| 2022-04-01 | $165.99 | $119.34 | RVU22B |
| 2022-01-01 | $165.99 | $119.34 | RVU22A |
| 2021-10-01 | $164.13 | $119.97 | RVU21D |
| 2021-07-01 | $164.13 | $119.97 | RVU21C |
| 2021-04-01 | $164.13 | $119.97 | RVU21B |
| 2021-01-01 | $164.13 | $119.97 | RVU21A |
| 2020-10-01 | $161.22 | $121.09 | RVU20D |
| 2020-07-01 | $161.22 | $121.09 | RVU20C |
| 2020-04-01 | $161.22 | $121.09 | RVU20B |
| 2020-01-01 | $161.22 | $121.09 | RVU20A |
| 2019-10-01 | $157.99 | $121.16 | RVU19D |
| 2019-07-01 | $157.99 | $121.16 | RVU19C |
| 2019-04-01 | $157.99 | $121.16 | RVU19B |
| 2019-01-01 | $157.99 | $121.16 | RVU19A |
| 2018-10-01 | $155.97 | $121.72 | RVU18D |
| 2018-07-01 | $155.97 | $121.72 | RVU18C |
| 2018-04-01 | $155.97 | $121.72 | RVU18B |
| 2018-01-01 | $155.97 | $121.72 | RVU18AR1 |
| 2017-10-01 | $153.98 | $121.75 | RVU17D |
| 2017-07-01 | $153.98 | $121.75 | RVU17C |
| 2017-04-01 | $153.98 | $121.75 | RVU17B |
| 2017-01-01 | $153.98 | $121.75 | RVU17A |
| 2016-10-01 | $154.93 | $121.80 | RVU16D |
| 2016-07-01 | $154.93 | $121.80 | RVU16C |
| 2016-04-01 | $154.93 | $121.80 | RVU16B |
| 2016-01-01 | $154.93 | $121.80 | RVU16A |
| 2015-10-01 | $158.73 | $123.30 | RVU15D |
| 2015-07-01 | $158.73 | $123.30 | RVU15C |
| 2015-04-01 | $157.94 | $122.69 | RVU15B |
| 2015-01-01 | $157.94 | $122.69 | RVU15A |
| 2014-10-01 | $152.73 | $118.92 | RVU14D |
| 2014-07-01 | $152.73 | $118.92 | RVU14C |
| 2014-04-01 | $152.73 | $118.92 | RVU14B |
| 2014-01-01 | $152.73 | $118.92 | 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 Houston, TX rate applies
Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 64646 in Houston · multiple payment areas
- Aldine
- Atascocita
- Barrett
- 64646 in Baytown · multiple payment areas
- Bellaire
- Bunker Hill Village
- Channelview
64646 billing questions
How is this code distinguished from the six-or-more trunk muscle code?
Count the distinct trunk muscles treated during the session. Report this code for one to five muscles and the six-or-more code when at least six are treated.
Do injection sites or toxin units determine the code?
No. The threshold is based on the number of trunk muscles treated, not the number of needle placements or units of medication.
Can modifier 50 be used for bilateral trunk injections?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50 to represent treatment on both sides.
Is same-day evaluation or postoperative care separately included?
The code has a 0-day global period, with same-day preoperative and postoperative care included.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant, co-surgeon, or surgical team be reported?
Assistant-at-surgery payment is statutorily restricted. Co-surgeons and team surgery are not permitted for this code.
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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