64600 Injection treatment of nerve
Also known as: botulinum toxin injection, chemodenervation, botox injection for spasticity
Chemodenervation with administration of chemical agent (typically botulinum toxin) for treatment of muscle spasticity or overactive muscle.
In Plain Language
muscle relaxing injection; spasticity treatment shot
Clinical Context
Used for muscle spasticity from stroke, cerebral palsy, and other neurological conditions causing muscle hypertonicity.
RVU Breakdown
| Work RVU | 3.40 |
| Total RVU | 3.40 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.40, this code ranks in the 23rd percentile among Surgery codes — 2.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64600?
CPT 64600 (Injection treatment of nerve) is a Surgery code. Chemodenervation with administration of chemical agent (typically botulinum toxin) for treatment of muscle spasticity or overactive muscle.
What is the wRVU value for CPT 64600?
The work RVU for CPT 64600 is 3.40. This code is primarily used by Neurology, Physiatry, Pain Management. It has a 10-day global period.
When is CPT 64600 used?
Used for muscle spasticity from stroke, cerebral palsy, and other neurological conditions causing muscle hypertonicity.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.