64647 Chemodenerv trunk muscle 6/>
Also known as: trunk chemodenervation extensive muscles, botulinum toxin trunk multiple
Chemodenervation of trunk muscles with administration of chemical agent to six or more muscles.
In Plain Language
extensive chest/back muscle relaxation injection
Clinical Context
Used for extensive trunk spasticity affecting six or more muscles.
RVU Breakdown
| Work RVU | 2.06 |
| Total RVU | 2.06 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.06, this code ranks in the 14th percentile among Surgery codes — 3.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64647?
CPT 64647 (Chemodenerv trunk muscle 6/>) is a Surgery code. Chemodenervation of trunk muscles with administration of chemical agent to six or more muscles.
What is the wRVU value for CPT 64647?
The work RVU for CPT 64647 is 2.06. This code is primarily used by Neurology, Physiatry.
When is CPT 64647 used?
Used for extensive trunk spasticity affecting six or more muscles.
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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.