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HCPCS code J0586: AbobotulinumtoxinA, per 5 units2026 Medicare rate & RVUs

AbobotulinumtoxinA is an injectable botulinum toxin type A drug used for muscle overactivity and glabellar lines, reported in 5-unit increments.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J0586

AbobotulinumtoxinA, per 5 units

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for J0586 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What J0586 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What J0586 covers

AbobotulinumtoxinA is injected into muscles to reduce excessive muscle activity. Clinicians use it for conditions including adult cervical dystonia and spasticity; it is also used for glabellar lines. Neurologists, physiatrists, and other clinicians select injection sites and doses based on the condition and muscles treated, then administer the drug in settings such as physician offices and outpatient clinics. Its units are product-specific and are not interchangeable with units of other botulinum toxin products.

J0586 identifies the drug in 5-unit increments: each HCPCS unit represents 5 units of abobotulinumtoxinA, so a 100-unit dose corresponds to 20 HCPCS units. CMS excludes the code from the physician fee schedule (status E). When Medicare covers the drug, payment is generally through the Part B drug method using CMS quarterly Average Sales Price drug pricing files. Coverage is left to the Medicare contractor's judgment.

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.

Where J0586 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

J0586 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

J0586 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
J0586 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the J0586 rate is calculated

Each of J0586’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 · J0586

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for J0586

J0586 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · J0586

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

J0586 isn’t priced in this setting.

J0586 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J0586

    AbobotulinumtoxinA, per 5 units0 wRVU

    Not priced

  • J0585

    OnabotulinumtoxinA, per 1 unit0 wRVU

    Not priced

  • J0587

    RimabotulinumtoxinB, per 100 units0 wRVU

    Not priced

  • J0588

    IncobotulinumtoxinA, per 1 unit0 wRVU

    Not priced

How to choose

J0585OnabotulinumtoxinAPer 1 unit
J0585 identifies onabotulinumtoxinA, while J0586 identifies abobotulinumtoxinA. Select the code for the product administered; their units are not interchangeable.
J0587RimabotulinumtoxinBPer 100 units
J0587 identifies rimabotulinumtoxinB rather than a type A product. Use J0586 only when the administered drug is abobotulinumtoxinA.
J0588IncobotulinumtoxinAPer 1 unit
J0588 identifies incobotulinumtoxinA. Although both it and J0586 are type A products, report the specific product administered and do not convert their units.

Codes related to J0586

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to J0586
CodeHow it relatesNational office range
Used instead
J0585OnabotulinumtoxinA, per 1 unitIdentifies onabotulinumtoxinA, another type A product used for some overlapping clinical indications.No office rate
J0587RimabotulinumtoxinB, per 100 unitsIdentifies rimabotulinumtoxinB, a different botulinum toxin product used for selected conditions.No office rate
J0588IncobotulinumtoxinA, per 1 unitIdentifies incobotulinumtoxinA, another type A product with product-specific units.No office rate
J0589DaxibotulinumtoxinA, per 1 unitIdentifies daxibotulinumtoxinA-lanm, a different type A product with its own product-specific dosing.No office rate

J0586 billing questions

How many J0586 units should be reported?

Each J0586 unit represents 5 units of abobotulinumtoxinA. Divide the administered product dose by 5; for example, 100 product units equal 20 HCPCS units.

Can J0586 units be converted to units of another botulinum toxin?

No. Botulinum toxin products have product-specific units, so doses cannot be converted directly between J0586 and another product code.

Does J0586 include the injection service?

J0586 identifies the drug quantity, not the injection service.

How does Medicare treat J0586?

CMS excludes J0586 from the physician fee schedule with status E. When covered, it is generally paid as a Part B drug using CMS quarterly ASP drug pricing files; the Medicare contractor determines coverage.

Is J0586 the code for every botulinum toxin type A drug?

No. J0586 identifies abobotulinumtoxinA specifically. Use the code that identifies the product administered because the products and their unit scales differ.

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

Open CMS sourceHow we calculate rates

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