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CMS RVU26D · Effective 2026-10-01

64612 in Modesto

Office / nonfacility

$146.18

Base rate per service

Facility setting

$109.57

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Chemodenervation

About 64612: Facial muscle chemodenervation

Report 64612 for botulinum toxin treatment of facial nerve–innervated muscles, such as in blepharospasm or hemifacial spasm, on one side.

This service uses targeted injections to reduce activity in facial muscles supplied by the facial nerve. Typical indications include blepharospasm and hemifacial spasm. Neurologists and ophthalmologists commonly perform it; other physicians with relevant expertise may provide treatment in office or facility settings. The injected muscles may include muscles around the eye or elsewhere in the face, depending on the documented disorder and treatment plan.

Select 64612 for unilateral treatment of facial nerve–innervated muscles, not by counting injection sites. For treatment on both sides, report modifier 50; CMS pays the bilateral procedure at 150%. Document the treated side, muscles, indication, and procedure performed. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 64612

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral procedure with modifier 50 is paid at 150%.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.37 · 32%
  • Practice expense (office) RVU2.58 · 61%
  • Malpractice RVU0.29 · 7%

79.5K

Medicare services in 2024 · #633 by national volume

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.

64612 compared with similar codes

Office rates for Modesto, from the same CMS release.

64615

Migraine chemodenervation

Bilateral head and neck

$155.71

64612 treats facial nerve–innervated muscles, commonly for blepharospasm or hemifacial spasm. 64615 is for chronic migraine treatment involving specified head and neck muscle groups.

64616

Neck chemodenervation

Neck muscles, excluding larynx

$144.13

Use 64616 for chemodenervation of neck muscles, such as in cervical dystonia; use 64612 for facial nerve–innervated muscles.

64642

Chemodenervation

One extremity, 1–4 muscles

$167.47

64642 applies to treatment of one extremity with one to four muscles. 64612 applies to unilateral facial nerve muscle treatment.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 64612 is $146.97—$0.79 higher than the $146.18 rate in Modesto. Both use the same code, release and participation basis.

64612 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $146.18

  2. Bakersfield

    $146.97

    $0.79 higher than Modesto

  3. Chico

    $146.18

    The same base rate than Modesto

  4. El Centro

    $146.22

    $0.04 higher than Modesto

  5. Fresno

    $146.18

    The same base rate than Modesto

  6. Hanford-Corcoran

    $146.18

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $156.01

    $9.83 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 64612 ranges from $124.77 in Arkansas to $180.25 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 64612

    Office

    $146.18

    Facility

    $109.57

    The same base rate than Modesto for the office setting.

  • Merced

    California · 64612

    Office

    $146.18

    Facility

    $109.57

    The same base rate than Modesto for the office setting.

  • Napa

    California · 64612

    Office

    $167.14

    Facility

    $123.12

    $20.96 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 64612

    Office

    $154.93

    Facility

    $115.45

    $8.75 higher than Modesto for the office setting.

  • Redding

    California · 64612

    Office

    $146.18

    Facility

    $109.57

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 64612

    Office

    $146.18

    Facility

    $109.57

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 64612

    Office

    $149.29

    Facility

    $112.68

    $3.11 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 64612

    Office

    $152.82

    Facility

    $113.97

    $6.64 higher than Modesto for the office setting.

  • Salinas

    California · 64612

    Office

    $152.25

    Facility

    $113.53

    $6.07 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 64612

    Office

    $155.45

    Facility

    $115.50

    $9.27 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 64612

    Office

    $176.06

    Facility

    $128.96

    $29.88 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 64612

    Office

    $175.73

    Facility

    $128.63

    $29.55 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 64612

    Office

    $180.25

    Facility

    $132.08

    $34.07 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 64612

    Office

    $178.90

    Facility

    $130.74

    $32.72 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 64612

    Office

    $149.88

    Facility

    $111.84

    $3.70 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 64612

    Office

    $156.61

    Facility

    $116.03

    $10.43 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 64612

    Office

    $152.71

    Facility

    $113.77

    $6.53 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 64612

    Office

    $158.15

    Facility

    $117.13

    $11.97 higher than Modesto for the office setting.

  • Stockton

    California · 64612

    Office

    $146.18

    Facility

    $109.57

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 64612

    Office

    $166.67

    Facility

    $122.64

    $20.49 higher than Modesto for the office setting.

  • Visalia

    California · 64612

    Office

    $146.18

    Facility

    $109.57

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 64612

    Office

    $146.18

    Facility

    $109.57

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 64612

    Office

    $160.52

    Facility

    $121.18

    $14.34 higher than Modesto for the office setting.

  • Miami

    Florida · 64612

    Office

    $159.96

    Facility

    $125.19

    $13.78 higher than Modesto for the office setting.

  • Chicago

    Illinois · 64612

    Office

    $154.91

    Facility

    $121.35

    $8.73 higher than Modesto for the office setting.

  • Manhattan

    New York · 64612

    Office

    $164.18

    Facility

    $125.37

    $18.00 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 64612

    Office

    $165.75

    Facility

    $130.18

    $19.57 higher than Modesto for the office setting.

  • Alabama

    Alabama · 64612

    Office

    $126.64

    Facility

    $97.42

    $19.54 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 64612

    Office

    $124.77

    Facility

    $96.08

    $21.41 lower than Modesto for the office setting.

  • Arizona

    Arizona · 64612

    Office

    $137.55

    Facility

    $105.19

    $8.63 lower than Modesto for the office setting.

  • Colorado

    Colorado · 64612

    Office

    $145.56

    Facility

    $110.02

    $0.62 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 64612

    Office

    $151.20

    Facility

    $115.23

    $5.02 higher than Modesto for the office setting.

  • Delaware

    Delaware · 64612

    Office

    $139.84

    Facility

    $106.84

    $6.34 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 64612

    Office

    $150.57

    Facility

    $116.73

    $4.39 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 64612

    Office

    $142.70

    Facility

    $110.77

    $3.48 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 64612

    Office

    $145.08

    Facility

    $111.15

    $1.10 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 64612

    Office

    $134.17

    Facility

    $104.38

    $12.01 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 64612

    Office

    $149.35

    Facility

    $111.37

    $3.17 higher than Modesto for the office setting.

  • Iowa

    Iowa · 64612

    Office

    $128.45

    Facility

    $97.89

    $17.73 lower than Modesto for the office setting.

  • Idaho

    Idaho · 64612

    Office

    $129.62

    Facility

    $98.89

    $16.56 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 64612

    Office

    $144.55

    Facility

    $113.82

    $1.63 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 64612

    Office

    $139.58

    Facility

    $109.08

    $6.60 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 64612

    Office

    $151.74

    Facility

    $117.44

    $5.56 higher than Modesto for the office setting.

  • Indiana

    Indiana · 64612

    Office

    $130.35

    Facility

    $99.39

    $15.83 lower than Modesto for the office setting.

  • Kansas

    Kansas · 64612

    Office

    $128.54

    Facility

    $98.35

    $17.64 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 64612

    Office

    $131.23

    Facility

    $101.54

    $14.95 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 64612

    Office

    $137.85

    Facility

    $106.42

    $8.33 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 64612

    Office

    $131.30

    Facility

    $101.74

    $14.88 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 64612

    Office

    $159.15

    Facility

    $119.27

    $12.97 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 64612

    Office

    $144.95

    Facility

    $109.78

    $1.23 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 64612

    Office

    $150.94

    Facility

    $115.10

    $4.76 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 64612

    Office

    $142.32

    Facility

    $108.52

    $3.86 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 64612

    Office

    $131.06

    Facility

    $100.34

    $15.12 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 64612

    Office

    $137.27

    Facility

    $104.17

    $8.91 lower than Modesto for the office setting.

  • Detroit

    Michigan · 64612

    Office

    $145.25

    Facility

    $113.02

    $0.93 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 64612

    Office

    $135.37

    Facility

    $104.88

    $10.81 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 64612

    Office

    $137.30

    Facility

    $102.93

    $8.88 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 64612

    Office

    $136.14

    Facility

    $104.78

    $10.04 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 64612

    Office

    $137.50

    Facility

    $105.71

    $8.68 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 64612

    Office

    $129.48

    Facility

    $100.68

    $16.70 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 64612

    Office

    $127.11

    Facility

    $98.36

    $19.07 lower than Modesto for the office setting.

  • Montana**

    Montana · 64612

    Office

    $141.60

    Facility

    $108.20

    $4.58 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 64612

    Office

    $132.35

    Facility

    $101.19

    $13.83 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 64612

    Office

    $135.87

    Facility

    $102.47

    $10.31 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 64612

    Office

    $128.96

    Facility

    $98.13

    $17.22 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 64612

    Office

    $143.94

    Facility

    $109.17

    $2.24 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 64612

    Office

    $158.95

    Facility

    $120.20

    $12.77 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 64612

    Office

    $152.32

    Facility

    $115.84

    $6.14 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 64612

    Office

    $136.41

    Facility

    $105.79

    $9.77 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 64612

    Office

    $140.09

    Facility

    $106.65

    $6.09 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 64612

    Office

    $169.14

    Facility

    $129.42

    $22.96 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 64612

    Office

    $153.90

    Facility

    $117.33

    $7.72 higher than Modesto for the office setting.

  • Queens

    New York · 64612

    Office

    $164.51

    Facility

    $125.03

    $18.33 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 64612

    Office

    $134.43

    Facility

    $102.70

    $11.75 lower than Modesto for the office setting.

  • Ohio

    Ohio · 64612

    Office

    $134.20

    Facility

    $103.71

    $11.98 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 64612

    Office

    $130.24

    Facility

    $100.41

    $15.94 lower than Modesto for the office setting.

  • Portland

    Oregon · 64612

    Office

    $149.44

    Facility

    $112.33

    $3.26 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 64612

    Office

    $138.40

    Facility

    $105.13

    $7.78 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 64612

    Office

    $147.85

    Facility

    $113.08

    $1.67 higher than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 64612

    Office

    $134.02

    Facility

    $103.36

    $12.16 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 64612

    Office

    $142.42

    Facility

    $108.65

    $3.76 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 64612

    Office

    $144.29

    Facility

    $109.78

    $1.89 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 64612

    Office

    $133.62

    Facility

    $102.76

    $12.56 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 64612

    Office

    $135.19

    Facility

    $101.79

    $10.99 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 64612

    Office

    $129.29

    Facility

    $98.93

    $16.89 lower than Modesto for the office setting.

  • Austin

    Texas · 64612

    Office

    $145.61

    Facility

    $110.27

    $0.57 lower than Modesto for the office setting.

  • Beaumont

    Texas · 64612

    Office

    $133.18

    Facility

    $102.78

    $13.00 lower than Modesto for the office setting.

  • Brazoria

    Texas · 64612

    Office

    $139.08

    Facility

    $105.98

    $7.10 lower than Modesto for the office setting.

  • Dallas

    Texas · 64612

    Office

    $140.31

    Facility

    $107.04

    $5.87 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 64612

    Office

    $139.58

    Facility

    $106.64

    $6.60 lower than Modesto for the office setting.

  • Galveston

    Texas · 64612

    Office

    $139.72

    Facility

    $106.55

    $6.46 lower than Modesto for the office setting.

  • Houston

    Texas · 64612

    Office

    $145.02

    Facility

    $111.86

    $1.16 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 64612

    Office

    $136.29

    Facility

    $104.59

    $9.89 lower than Modesto for the office setting.

  • Utah

    Utah · 64612

    Office

    $135.46

    Facility

    $104.06

    $10.72 lower than Modesto for the office setting.

  • Virginia

    Virginia · 64612

    Office

    $137.31

    Facility

    $104.47

    $8.87 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 64612

    Office

    $142.42

    Facility

    $108.65

    $3.76 lower than Modesto for the office setting.

  • Vermont

    Vermont · 64612

    Office

    $135.97

    Facility

    $102.91

    $10.21 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 64612

    Office

    $144.47

    Facility

    $109.30

    $1.71 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 64612

    Office

    $161.70

    Facility

    $120.71

    $15.52 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 64612

    Office

    $131.30

    Facility

    $99.30

    $14.88 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 64612

    Office

    $134.51

    Facility

    $105.48

    $11.67 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 64612

    Office

    $139.10

    Facility

    $105.70

    $7.08 lower than Modesto for the office setting.

See how rates vary across the country

64612 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$124.77

$165.75

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$165.751
AL$126.641
AR$124.771
AZ$137.551
CA$146.18–$180.2529
CO$145.561
CT$151.201
DC$160.521
DE$139.841
FL$142.70–$159.963
GA$134.17–$145.082
GU$149.351
HI$149.351
IA$128.451
ID$129.621
IL$139.58–$154.914
IN$130.351
KS$128.541
KY$131.231
LA$131.30–$137.852
MA$144.95–$159.152
MD$142.32–$160.523
ME$131.06–$137.272
MI$135.37–$145.252
MN$137.301
MO$129.48–$137.503
MS$127.111
MT$141.601
NC$132.351
ND$135.871
NE$128.961
NH$143.941
NJ$152.32–$158.952
NM$136.411
NV$140.091
NY$134.43–$169.145
OH$134.201
OK$130.241
OR$138.40–$149.442
PA$134.02–$147.852
PR$142.421
RI$144.291
SC$133.621
SD$135.191
TN$129.291
TX$133.18–$145.618
UT$135.461
VA$137.31–$160.522
VI$142.421
VT$135.971
WA$144.47–$161.702
WI$131.301
WV$134.511
WY$139.101

Explore 64612 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 64612 in Modesto, the physician’s office rate is $146.18 and the facility-setting rate is $109.57: a difference of $36.61.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 64612 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$160.80

$146.18 × 110% = $160.80

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 64612 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

7,169

Code
64612
Physician work
1.37
Practice expense
2.58
Malpractice
0.29

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 64612 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.37× 1.0171.3933
Practice expense2.58× 1.0962.8277
Malpractice0.29× 0.5360.1554
Total RVUs4.3764
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$146.18

Open 64612 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.371.017
Practice expense2.581.096
Malpractice0.290.536

(1.37 × 1.017 + 2.58 × 1.096 + 0.29 × 0.536) × $33.4009 = $146.18

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.371.017
Practice expense1.581.096
Malpractice0.290.536

(1.37 × 1.017 + 1.58 × 1.096 + 0.29 × 0.536) × $33.4009 = $109.57

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

64612 · Office / nonfacility

$146.18

Effective 2026-10-01

The base rate is $8.06 higher than on 2025-10-01, moving from $138.12 to $146.18 (5.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $138.12changed to$146.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.41 changed to 1.37
    • Practice expense RVU 2.45 changed to 2.58
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $138.12

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$146.18$109.57RVU26D
2026-07-01$146.18$109.57RVU26C
2026-04-01$146.18$109.57RVU26B
2026-01-01$146.18$109.57RVU26A
2025-10-01$138.12$118.67RVU25D
2025-07-01$138.12$118.67RVU25C
2025-04-01$138.12$118.67RVU25B
2025-01-01$138.12$118.67RVU25A

64612 billing questions

When should 64612 be used instead of 64615?

Use 64612 for treatment of facial nerve–innervated muscles, such as for blepharospasm or hemifacial spasm. Code 64615 describes chemodenervation for chronic migraine involving specified head and neck muscle groups.

Is 64612 reported per muscle or injection site?

No. Select the code for the unilateral facial nerve muscle treatment, rather than billing a unit for each muscle or injection site.

How is treatment on both sides reported?

Report modifier 50 for bilateral treatment. CMS pays the bilateral procedure at 150%.

Are postoperative visits separately payable?

Related postoperative visits during the 10-day global period are included in the procedure payment.

Can the botulinum toxin product be reported separately?

When a separately reportable toxin product is supplied, report the applicable drug code as supported by the product and documentation. For example, J0585 describes onabotulinumtoxinA.

How does CMS apply multiple-procedure payment?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 64612PPRRVU2026_Oct_nonQPP.csv, line 7,169 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet