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See a sample rate comparisonCPT 64646 Fee Schedule
Last Verified: October 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.
Muscle Injection For Spasm, An Injection Into A Muscle In Order To Weaken Or Temporarily Paralyze It. The Treatment Typically Is Given To Relieve Muscle Spasms Associated With Various Conditions.
| 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 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64646 |
| Medicaid Fee Schedule | View Medicaid rates for 64646 |
National average reimbursement for CPT 64646 by major payers:
$197.09
$211.33
$221.18
$205.63
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CPT 64646
5 of 25 sample ratesHigher to lower in this preview
Carolina Regional Surgery Center. Ltd
Carolina Regional Surgery Center Ltd
$3,936.00Published rateUpland Outpatient Surgery Center Lp, Ontario Advanced Surgery Center
Upland Outpatient Surgery Center Lp
$808.00Published rateQueensridge Surgery Center
$408.00Published rateBay Surgery Centers, Clearway Surgery Center Of Glen Burnie
Bay Surgery Centers
$320.00Published rateThe Endoscopy Center At Bel Air
$238.00Published rate
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See a sample payer proposalCPT 64646 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64646 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 64646 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 |
|---|---|---|
| 64646-CPT | Low | Muscle Injection For Spasm, An Injection Into A Muscle In Order To Weaken Or Temporarily Paralyze It. The Treatment Typically Is Given To Relieve Muscle Spasms Associated With Various Conditions. |
| 64647-CPT | Moderate | Muscle Injection For Spasm, An Injection Into A Muscle In Order To Weaken Or Temporarily Paralyze It. The Treatment Typically Is Given To Relieve Muscle Spasms Associated With Various Conditions. |
| 64650-CPT | Low | Treatment Of Sweat Glands, An Injection Of Botulinum Toxin Or A Similar Medicine Into A Sweat Gland. The Chemical Partially Disables The Sweating Reflex To Relieve Excessive Perspiration. |
| 64653-CPT | Low | Treatment Of Sweat Glands, An Injection Of Botulinum Toxin Or A Similar Medicine Into A Sweat Gland. The Chemical Partially Disables The Sweating Reflex To Relieve Excessive Perspiration. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64646. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64646 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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