$144.29
64611 treats the bilateral parotid and submandibular glands to reduce saliva. 64612 is for chemodenervation of facial muscles, such as for facial spasm.
On this page
CMS RVU26D · Effective 2026-10-01
64611 Salivary gland injection Medicare reimbursement rates in Rhode Island
Reports bilateral botulinum toxin treatment of the parotid and submandibular glands for excessive saliva, including chronic drooling related to neurologic disease. Compare 64611 office and facility rates across CMS payment localities in Rhode Island.
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.
What does Medicare pay for 64611 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$140.88
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$109.49
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Chemodenervation
About 64611: Bilateral salivary gland chemodenervation
Reports bilateral botulinum toxin treatment of the parotid and submandibular glands for excessive saliva, including chronic drooling related to neurologic disease.
This service uses injected medication to reduce saliva production by treating the parotid and submandibular glands on both sides. It is commonly performed for persistent drooling, including in patients with neurologic conditions such as cerebral palsy, Parkinson disease, or stroke. Neurologists, otolaryngologists, and other clinicians who manage sialorrhea may provide the injections in office or facility settings.
Report the code for the bilateral gland treatment, not for injections into facial or other muscles. Document the indication, glands treated, laterality, medication and dose, and the procedure performed. The code is priced as bilateral; modifier 50 does not increase payment. Related postoperative visits are included in its 10-day global period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 64611
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.00 · 24%
- Practice expense (office) RVU2.76 · 67%
- Malpractice RVU0.39 · 9%
14.2K
Medicare services in 2024 · #1285 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.
64611 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$158.40
64615 is used for chemodenervation associated with chronic migraine treatment; it does not describe salivary gland injections.
$145.31
64616 targets neck muscles, commonly for cervical dystonia. Choose 64611 when the treated structures are the bilateral salivary glands.
Compare 64611 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
$140.88
Facility
$109.49
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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 64611 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
7,168
- Code
- 64611
- Physician work
- 1.00
- Practice expense
- 2.76
- Malpractice
- 0.39
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.00 | × 1.019 | 1.0190 |
| Practice expense | 2.76 | × 1.033 | 2.8511 |
| Malpractice | 0.39 | × 0.892 | 0.3479 |
| Total RVUs | 4.2180 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$140.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1.019 |
| Practice expense | 2.76 | 1.033 |
| Malpractice | 0.39 | 0.892 |
(1 × 1.019 + 2.76 × 1.033 + 0.39 × 0.892) × $33.4009 = $140.88
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1 | 1.019 |
| Practice expense | 1.85 | 1.033 |
| Malpractice | 0.39 | 0.892 |
(1 × 1.019 + 1.85 × 1.033 + 0.39 × 0.892) × $33.4009 = $109.49
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.
64611 billing questions
When should 64611 be chosen over 64612?
Use 64611 for bilateral parotid and submandibular gland chemodenervation to reduce saliva. Code 64612 describes chemodenervation of facial muscles, not salivary glands.
Is modifier 50 needed for the bilateral treatment?
The code is already priced as bilateral, and modifier 50 does not increase payment. Document that the bilateral gland treatment was performed.
How many units should be reported for treatment of both sides?
Report the bilateral service as one code rather than a separate unit for each gland or side. The code's bilateral pricing does not support an increased payment from modifier 50.
Is the medication included in the procedure code?
The code reports the gland chemodenervation procedure. Any separately reportable drug supply depends on how the medication was furnished and applicable drug-billing requirements.
What documentation supports 64611?
Record the clinical reason for treating excessive saliva, the parotid and submandibular glands treated on both sides, and the medication and dose administered.
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.
7,16564600,,Injection treatment of nerve,A,,3.40,11.57,,2.48,,0.92,15.89,6.80,0,010,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,16664605,,Injection treatment of nerve,A,,5.51,25.12,,4.85,,2.33,32.96,12.69,0,010,0.10,0.80,0.10,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,16764610,,Injection treatment of nerve,A,,7.02,16.52,,4.23,,2.20,25.74,13.45,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,16864611,,Chemodenerv saliv glands,A,,1.00,2.76,,1.85,,0.39,4.15,3.24,0,010,0.10,0.80,0.10,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,16964612,,Destroy nerve face muscle,A,,1.37,2.58,,1.58,,0.29,4.24,3.24,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17064615,,Chemodenerv musc migraine,A,,1.80,2.28,,0.85,,0.62,4.70,3.27,0,010,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7,17164616,,Chemodenerv musc neck dyston,A,,1.49,2.31,,0.99,,0.50,4.30,2.98,0,010,0.10,0.80,0.10,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537