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CPT 64615 — Chemodenerv musc migraine

CPT code 64615 (Chemodenerv musc migraine) carries 1.8 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 4.7 in a non-facility setting and 3.27 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $156.98 and $109.22 respectively.

1.8
Work RVU
4.7
Total RVU (non-facility)
$156.98
Medicare, non-facility
$109.22
Medicare, facility
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RVU breakdown for CPT 64615

ComponentRVUsWhat it covers
Work RVU1.8Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)2.28Office overhead, staff, supplies.
Practice expense RVU (facility)0.85Overhead when performed in a hospital.
Malpractice RVU0.62Professional liability cost.
Total RVU (non-facility)4.7Work + non-facility PE + malpractice.
Total RVU (facility)3.27Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 64615 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility4.7$33.40$156.98
Facility3.27$33.40$109.22

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 64615

Global period
10-day global — minor procedure; 10 days of follow-up care included.
Multiple procedure reduction
Subject to the standard multiple-procedure reduction (100%/50%/50%…).
Bilateral surgery
RVUs already reflect the bilateral procedure; no further adjustment.
Assistant surgeon
Not permitted.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT 64615

How many work RVUs is CPT 64615?

CPT 64615 is assigned 1.8 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 64615?

At the 2026 national conversion factor of $33.40, CPT 64615 pays approximately $156.98 in a non-facility setting and $109.22 in a facility setting before geographic adjustment.

What is the global period for CPT 64615?

10-day global — minor procedure; 10 days of follow-up care included.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.