# CPT 64616: Chemodenervation Muscle Neck Unilat for Dystonia

Medicare CPT 64616 pays $143.62 in a non-facility setting and $99.53 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $124.65 in Arkansas to $166.02 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/64616-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Neurology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $143.62 |
| National facility | $99.53 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $166.02 | $119.07 |
| District of Columbia | $161.93 | $110.00 |
| New York | $160.91 | $111.72 |
| Florida | $159.69 | $115.46 |
| New Jersey | $157.29 | $107.65 |
| Illinois | $156.41 | $113.81 |
| Connecticut | $154.07 | $106.58 |
| Washington | $152.47 | $102.21 |
| Massachusetts | $151.96 | $102.42 |
| California | $151.91 | $99.74 |
| Maryland | $148.85 | $102.88 |
| Hawaii | $147.16 | $97.03 |
| Michigan | $145.73 | $104.32 |
| Colorado | $145.50 | $98.59 |
| Rhode Island | $145.31 | $99.77 |
| New Hampshire | $144.70 | $98.80 |
| Puerto Rico | $144.22 | $99.65 |
| Virgin Islands | $144.22 | $99.65 |
| Pennsylvania | $143.64 | $100.46 |
| Montana | $143.59 | $99.50 |
| Oregon | $143.54 | $97.09 |
| Georgia | $143.43 | $101.37 |
| Texas | $141.51 | $98.11 |
| Delaware | $141.26 | $97.70 |
| Nevada | $140.91 | $96.78 |
| West Virginia | $140.71 | $102.40 |
| New Mexico | $140.58 | $100.15 |
| Wyoming | $139.28 | $95.19 |
| Arizona | $138.83 | $96.10 |
| Louisiana | $137.70 | $97.44 |
| Virginia | $137.40 | $94.06 |
| Utah | $137.29 | $95.85 |
| Ohio | $137.04 | $96.79 |
| Missouri | $137.01 | $96.55 |
| South Carolina | $135.25 | $94.52 |
| Vermont | $134.60 | $90.95 |
| Minnesota | $134.10 | $88.74 |
| Maine | $133.95 | $91.82 |
| North Dakota | $133.70 | $89.61 |
| Kentucky | $133.64 | $94.44 |
| South Dakota | $132.53 | $88.45 |
| North Carolina | $132.43 | $91.29 |
| Oklahoma | $131.64 | $92.27 |
| Indiana | $129.41 | $88.54 |
| Tennessee | $128.87 | $88.79 |
| Wisconsin | $128.83 | $86.59 |
| Idaho | $128.65 | $88.09 |
| Mississippi | $128.54 | $90.58 |
| Kansas | $127.93 | $88.08 |
| Nebraska | $127.30 | $86.60 |
| Iowa | $127.00 | $86.65 |
| Alabama | $126.73 | $88.15 |
| Arkansas | $124.65 | $86.77 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 64616 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