64653 Chemodenerv eccrine glands
Also known as: hyperhidrosis injection extended, eccrine gland chemodenervation additional
Chemodenervation of eccrine sweat glands with administration of botulinum toxin for extended areas or additional sites of hyperhidrosis.
In Plain Language
additional excessive sweating injection sites
Clinical Context
Used for widespread hyperhidrosis requiring treatment of multiple body areas.
RVU Breakdown
| Work RVU | 0.86 |
| Total RVU | 0.86 |
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 0.86, this code ranks in the 3rd percentile among Surgery codes — 9.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64653?
CPT 64653 (Chemodenerv eccrine glands) is a Surgery code. Chemodenervation of eccrine sweat glands with administration of botulinum toxin for extended areas or additional sites of hyperhidrosis.
What is the wRVU value for CPT 64653?
The work RVU for CPT 64653 is 0.86. This code is primarily used by Dermatology, Pain Management.
When is CPT 64653 used?
Used for widespread hyperhidrosis requiring treatment of multiple body areas.
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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.