HCPCS code J0587: RimabotulinumtoxinB, per 100 units2026 Medicare rate & RVUs in Florida
Reports rimabotulinumtoxinB, commonly used for cervical dystonia or chronic sialorrhea, with each HCPCS unit representing 100 drug units.
CMS doesn’t publish an office rate for J0587 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | Unavailable | Unavailable |
| Miami, FL | Unavailable | Unavailable |
| Rest of Florida | Unavailable | Unavailable |
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
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
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.
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.
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