64605 Injection treatment of nerve
Also known as: chemodenervation large muscle groups, botulinum toxin multiple muscles
Chemodenervation with administration of chemical agent for treatment of muscle spasticity in larger muscle groups or multiple muscles.
In Plain Language
muscle relaxing injection large areas
Clinical Context
Used for more extensive spasticity affecting multiple or larger muscles in post-stroke or cerebral palsy patients.
RVU Breakdown
| Work RVU | 5.51 |
| Total RVU | 5.51 |
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 5.51, this code ranks in the 37th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64605?
CPT 64605 (Injection treatment of nerve) is a Surgery code. Chemodenervation with administration of chemical agent for treatment of muscle spasticity in larger muscle groups or multiple muscles.
What is the wRVU value for CPT 64605?
The work RVU for CPT 64605 is 5.51. This code is primarily used by Neurology, Physiatry. It has a 10-day global period.
When is CPT 64605 used?
Used for more extensive spasticity affecting multiple or larger muscles in post-stroke or cerebral palsy patients.
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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.