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HCPCS code J0587: RimabotulinumtoxinB, per 100 units2026 Medicare rate & RVUs

Reports rimabotulinumtoxinB, commonly used for cervical dystonia or chronic sialorrhea, with each HCPCS unit representing 100 drug units.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · J0587

RimabotulinumtoxinB, per 100 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 J0587 →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 J0587 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 J0587 covers

RimabotulinumtoxinB, marketed as Myobloc, is a botulinum toxin used in adults with cervical dystonia and chronic sialorrhea. Clinicians inject it into affected neck muscles for cervical dystonia or into salivary glands to reduce excessive drooling. Neurologists, physiatrists, and other clinicians experienced in these injections commonly provide the treatment in outpatient settings. This HCPCS code represents the drug rather than the chemodenervation procedure; a separately reportable chemodenervation service may accompany it when supported by the encounter.

CMS assigns status E, excluding this drug from the physician fee schedule. When Medicare covers it, the drug is a Part B drug generally priced using CMS quarterly Average Sales Price files; special Medicare coverage instructions apply. One HCPCS billing unit represents 100 units of rimabotulinumtoxinB. Its potency units are specific to this product and are not interchangeable with units for other botulinum toxin products.

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 J0587 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

J0587 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

J0587 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
J0587 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 J0587 rate is calculated

Each of J0587’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 · J0587

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 J0587

J0587 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 · J0587

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

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J0587 isn’t priced in this setting.

J0587 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • J0587

    RimabotulinumtoxinB, per 100 units0 wRVU

    Not priced

  • J0585

    OnabotulinumtoxinA, per 1 unit0 wRVU

    Not priced

  • J0586

    AbobotulinumtoxinA, per 5 units0 wRVU

    Not priced

  • J0588

    IncobotulinumtoxinA, per 1 unit0 wRVU

    Not priced

  • J0589

    DaxibotulinumtoxinA, per 1 unit0 wRVU

    Not priced

How to choose

J0585OnabotulinumtoxinAPer 1 unit
J0585 identifies onabotulinumtoxinA; J0587 identifies rimabotulinumtoxinB. Select the code for the product administered, and do not treat their potency units as interchangeable.
J0586AbobotulinumtoxinAPer 5 units
J0586 identifies abobotulinumtoxinA, not rimabotulinumtoxinB. Each product has its own code and product-specific potency units.
J0588IncobotulinumtoxinAPer 1 unit
J0588 identifies incobotulinumtoxinA. Use J0587 only when rimabotulinumtoxinB is the drug administered.
J0589DaxibotulinumtoxinAPer 1 unit
J0589 identifies daxibotulinumtoxinA-lanm. It is a distinct drug code, not another unit measure for rimabotulinumtoxinB.

Codes related to J0587

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

Codes related to J0587
CodeHow it relatesNational office range
Used instead
J0585OnabotulinumtoxinA, per 1 unitOnabotulinumtoxinA is a different botulinum toxin product used for some similar treatment needs.No office rate
J0586AbobotulinumtoxinA, per 5 unitsAbobotulinumtoxinA is a different botulinum toxin product; its units are not interchangeable with rimabotulinumtoxinB.No office rate
J0588IncobotulinumtoxinA, per 1 unitIncobotulinumtoxinA is a different botulinum toxin product used for some similar treatment needs.No office rate
J0589DaxibotulinumtoxinA, per 1 unitDaxibotulinumtoxinA-lanm is a different botulinum toxin product with its own HCPCS code.No office rate
Often billed with
64616Neck chemodenervation, neck muscles, excluding larynxMay report neck-muscle chemodenervation for cervical dystonia treatment.$124.65–$175.70
64611Salivary gland injection, bilateral parotid and submandibular glandsMay report salivary-gland chemodenervation for treatment of sialorrhea.$119.30–$176.99

J0587 billing questions

What does one billing unit represent?

One HCPCS unit represents 100 units of rimabotulinumtoxinB. Report units based on the amount of this drug administered.

Can rimabotulinumtoxinB units be converted to another botulinum toxin's units?

No. Potency units are product-specific and are not interchangeable with those for onabotulinumtoxinA, abobotulinumtoxinA, incobotulinumtoxinA, or daxibotulinumtoxinA.

Does this code include the chemodenervation service?

No. J0587 identifies the drug. A separately reportable chemodenervation service may be billed when supported by the treatment provided.

How does Medicare treat J0587?

CMS assigns status E, excluding it from the physician fee schedule. When covered, Medicare generally pays for the Part B drug using CMS quarterly ASP drug pricing files; special Medicare coverage instructions apply.

When is J0587 used instead of J0585?

Use J0587 for rimabotulinumtoxinB and J0585 for onabotulinumtoxinA. The products have separate codes and their potency units cannot be substituted for one another.

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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