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HCPCS code J0589: DaxibotulinumtoxinA, per 1 unit2026 Medicare rate & RVUs

This drug code reports daxibotulinumtoxinA-lanm by the administered product-specific unit for treatment such as cervical dystonia.

CMS RVU26DEffective Oct 1, 2026109 payment localities122.9K Medicare services in 2024

Medicare rate · J0589

DaxibotulinumtoxinA, per 1 unit

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 J0589 →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 J0589 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 J0589 covers

DaxibotulinumtoxinA-lanm is a botulinum toxin type A drug administered by intramuscular injection. It is used in adults for cervical dystonia and for temporary improvement of glabellar lines. Neurologists may administer it for cervical dystonia; dermatologists and other clinicians providing aesthetic treatment may use it for glabellar lines. J0589 identifies the drug and its administered amount, rather than the injection technique or treatment procedure.

CMS assigns J0589 physician fee schedule status E, excluding it from the physician fee schedule. When Medicare covers the drug, it is paid under another payment method; as a Part B drug, it is generally priced using CMS quarterly ASP drug pricing files. Coverage is left to the Medicare contractor’s judgment. Each HCPCS unit represents one unit of daxibotulinumtoxinA-lanm. The units are product-specific and should not be converted to units of another botulinum toxin product.

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 J0589 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

J0589 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

J0589 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

View every state and territory as a table
J0589 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 J0589 rate is calculated

Each of J0589’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 · J0589

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 J0589

J0589 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 · J0589

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

—

J0589 isn’t priced in this setting.

J0589 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • J0589

    DaxibotulinumtoxinA, per 1 unit0 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

How to choose

J0585OnabotulinumtoxinAPer 1 unit
Use J0585 for onabotulinumtoxinA. J0589 identifies daxibotulinumtoxinA-lanm; the products have separate, noninterchangeable unit systems.
J0586AbobotulinumtoxinAPer 5 units
Use J0586 for abobotulinumtoxinA. J0589 is specific to daxibotulinumtoxinA-lanm, and the products’ units are not interchangeable.
J0588IncobotulinumtoxinAPer 1 unit
Use J0588 for incobotulinumtoxinA. J0589 identifies a different type A product, daxibotulinumtoxinA-lanm.

Codes related to J0589

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

Codes related to J0589
CodeHow it relatesNational office range
Used instead
J0585OnabotulinumtoxinA, per 1 unitIdentifies onabotulinumtoxinA, a different botulinum toxin product.No office rate
J0586AbobotulinumtoxinA, per 5 unitsIdentifies abobotulinumtoxinA, a different botulinum toxin product.No office rate
J0587RimabotulinumtoxinB, per 100 unitsIdentifies rimabotulinumtoxinB rather than a type A product.No office rate
J0588IncobotulinumtoxinA, per 1 unitIdentifies incobotulinumtoxinA, a different type A product.No office rate

J0589 billing questions

How many milligrams or units does one billing unit represent?

One HCPCS unit represents one unit of daxibotulinumtoxinA-lanm. The code is not reported by milligrams, and its units are not interchangeable with units for other botulinum toxin products.

How is this code different from other botulinum toxin drug codes?

Select J0589 for daxibotulinumtoxinA-lanm. Codes for onabotulinumtoxinA, abobotulinumtoxinA, rimabotulinumtoxinB, or incobotulinumtoxinA identify different products.

How does Medicare price and cover this drug?

J0589 is excluded from the physician fee schedule. When Medicare covers it, the drug is generally paid under the Part B drug method using CMS quarterly ASP pricing files, and coverage is left to the Medicare contractor’s judgment.

What should the record support?

Document the daxibotulinumtoxinA-lanm product, the dose administered, and the clinical reason for treatment.

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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