# CPT 64612: Chemodenervation of muscle(s), face

Medicare CPT 64612 pays $141.62 in a non-facility setting and $108.22 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $124.77 in Arkansas to $165.75 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/64612-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $141.62 |
| National facility | $108.22 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $165.75 | $130.18 |
| District of Columbia | $160.52 | $121.18 |
| New York | $157.23 | $119.97 |
| New Jersey | $155.64 | $118.02 |
| California | $154.62 | $115.10 |
| Washington | $153.08 | $115.01 |
| Massachusetts | $152.05 | $114.53 |
| Connecticut | $151.20 | $115.23 |
| Florida | $151.08 | $117.56 |
| Hawaii | $149.35 | $111.37 |
| Illinois | $147.70 | $115.42 |
| Maryland | $146.63 | $111.81 |
| Colorado | $145.56 | $110.02 |
| Rhode Island | $144.29 | $109.78 |
| New Hampshire | $143.94 | $109.17 |
| Oregon | $143.92 | $108.73 |
| Puerto Rico | $142.42 | $108.65 |
| Virgin Islands | $142.42 | $108.65 |
| Montana | $141.60 | $108.20 |
| Pennsylvania | $140.94 | $108.22 |
| Michigan | $140.31 | $108.95 |
| Nevada | $140.09 | $106.65 |
| Texas | $139.85 | $106.96 |
| Delaware | $139.84 | $106.84 |
| Georgia | $139.63 | $107.77 |
| Wyoming | $139.10 | $105.70 |
| Arizona | $137.55 | $105.19 |
| Virginia | $137.31 | $104.47 |
| Minnesota | $137.30 | $102.93 |
| New Mexico | $136.41 | $105.79 |
| Vermont | $135.97 | $102.91 |
| North Dakota | $135.87 | $102.47 |
| Utah | $135.46 | $104.06 |
| South Dakota | $135.19 | $101.79 |
| Louisiana | $134.57 | $104.08 |
| West Virginia | $134.51 | $105.48 |
| Missouri | $134.37 | $103.72 |
| Ohio | $134.20 | $103.71 |
| Maine | $134.17 | $102.26 |
| South Carolina | $133.62 | $102.76 |
| North Carolina | $132.35 | $101.19 |
| Wisconsin | $131.30 | $99.30 |
| Kentucky | $131.23 | $101.54 |
| Indiana | $130.35 | $99.39 |
| Oklahoma | $130.24 | $100.41 |
| Idaho | $129.62 | $98.89 |
| Tennessee | $129.29 | $98.93 |
| Nebraska | $128.96 | $98.13 |
| Kansas | $128.54 | $98.35 |
| Iowa | $128.45 | $97.89 |
| Mississippi | $127.11 | $98.36 |
| Alabama | $126.64 | $97.42 |
| Arkansas | $124.77 | $96.08 |

## Related codes

- 61105: Twist drill hole for subdural/ventricular puncture — https://www.med-reveal.com/rates/61105-cpt-fee-schedule
- 61120: Burr hole(s) for ventricular puncture — https://www.med-reveal.com/rates/61120-cpt-fee-schedule
- 61150: Burr hole(s) with evacuation/drainage of abscess, superficial — https://www.med-reveal.com/rates/61150-cpt-fee-schedule
- 61312: Craniectomy/craniotomy for evacuation of hematoma, supratentorial, extradural/subdural — https://www.med-reveal.com/rates/61312-cpt-fee-schedule
- 61510: Craniectomy for excision of brain tumor, supratentorial — https://www.med-reveal.com/rates/61510-cpt-fee-schedule
- 61520: Craniectomy for excision of brain tumor, infratentorial/posterior fossa — https://www.med-reveal.com/rates/61520-cpt-fee-schedule
- 61533: Craniotomy with subdural implantation of electrodes for seizure focus — https://www.med-reveal.com/rates/61533-cpt-fee-schedule
- 61548: Hypophysectomy, transnasal/transseptal approach — https://www.med-reveal.com/rates/61548-cpt-fee-schedule

Commercial negotiated rates for 64612 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules