64650 Chemodenerv eccrine glands
Also known as: hyperhidrosis injection, eccrine gland chemodenervation, excessive sweating treatment
Chemodenervation of eccrine sweat glands with administration of botulinum toxin for treatment of hyperhidrosis (excessive sweating).
In Plain Language
excessive sweating treatment injection; sweat gland numbness
Clinical Context
Used for primary hyperhidrosis affecting hands, feet, or armpits.
RVU Breakdown
| Work RVU | 0.68 |
| Total RVU | 0.68 |
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 0.68, this code ranks in the 2nd percentile among Surgery codes — 11.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64650?
CPT 64650 (Chemodenerv eccrine glands) is a Surgery code. Chemodenervation of eccrine sweat glands with administration of botulinum toxin for treatment of hyperhidrosis (excessive sweating).
What is the wRVU value for CPT 64650?
The work RVU for CPT 64650 is 0.68. This code is primarily used by Dermatology, Pain Management.
When is CPT 64650 used?
Used for primary hyperhidrosis affecting hands, feet, or armpits.
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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.