64615 Chemodenerv muscle migraine
Also known as: migraine chemodenervation, botulinum toxin migraine, chronic migraine injection
Chemodenervation of muscles involved in migraine pain pathways for treatment of chronic migraine.
In Plain Language
migraine prevention injection; chronic headache treatment shot
Clinical Context
Used for chronic migraine prevention. Targets periosteal and meningeal nociceptors.
RVU Breakdown
| Work RVU | 1.80 |
| Total RVU | 1.80 |
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 1.80, this code ranks in the 12th percentile among Surgery codes — 4.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64615?
CPT 64615 (Chemodenerv muscle migraine) is a Surgery code. Chemodenervation of muscles involved in migraine pain pathways for treatment of chronic migraine.
What is the wRVU value for CPT 64615?
The work RVU for CPT 64615 is 1.80. This code is primarily used by Neurology, Pain Management. It has a 10-day global period.
When is CPT 64615 used?
Used for chronic migraine prevention. Targets periosteal and meningeal nociceptors.
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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.