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See a sample rate comparisonCPT 64611 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection To Reduce Saliva, Specific Saliva Glands Are Injected With Botulinum Toxin. The Drug Paralyzes The Glands Temporarily Causing Saliva Flow To Be Reduced.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 52 - Reduced Services PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64611 |
| Medicaid Fee Schedule | View Medicaid rates for 64611 |
National average reimbursement for CPT 64611 by major payers:
$158.88
$161.03
$176.00
$187.48
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CPT 64611
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Irmo Asc
Lexington Health Inc
$1,901.00Published rateCampbell Clinic Surgery Center, LLC
$673.00Published rateNovamed Surgery Center Of St Peters LLC, St Peters Ambulatory Surgery Center
Novamed Surgery Center Of St Peters LLC
$238.00Published rateBay Surgery Centers, Clearway Surgery Center Of Glen Burnie
Bay Surgery Centers
$136.00Published rateCataract And Laser Surgery Center, The Ophthalmology & Surgical Institute Of Central PA
Cataract And Laser Surgery Center
$47.00Published rate
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See a sample payer proposalCPT 64611 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64611 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 64611 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 64600-CPT | Moderate | Injection Treatment Of Nerve, Destruction By Neurolytic Agent Trigeminal Nerve Supraorbital Infraorbital Mental Or Inferior Alveolar Branch |
| 64605-CPT | Moderate | Destruct By Neurolytic Agnt Trigeminal Nrve; Second & Third Di, Destruction By Neurolytic Agent Trigeminal Nerve; Second And Third Di |
| 64610-CPT | Moderate | Injection Treatment Of Nerve, Destruction By Neurolytic Agent Trigeminal Nerve Second And Third Division Branches At Foramen Ovale Under Radiologic Monitoring |
| 64611-CPT | Low | Injection To Reduce Saliva, Specific Saliva Glands Are Injected With Botulinum Toxin. The Drug Paralyzes The Glands Temporarily Causing Saliva Flow To Be Reduced. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64611. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64611 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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