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See a sample rate comparisonCPT 64650 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service GA - Required ABN issued and on file |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 64650 |
| Medicaid Fee Schedule | View Medicaid rates for 64650 |
National average reimbursement for CPT 64650 by major payers:
$99.05
$106.44
$121.74
$147.49
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CPT 64650
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$2,500.00Published rateBuffalo Ambulatory Services, Inc, Buffalo Ambulatory Surgery Center
Buffalo Ambulatory Services, Inc
$536.00Published rateCmmp Surgical Center LLC
Cmmp Surgical Center
$235.00Published rateLubbock Vascular Access Center
Lubbock Interventional Nephrology Associates PA
$150.00Published rateWest Central Surgical Center-Bayside
West Central Surgical Centerbayside
$100.00Published rate
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See a sample payer proposalCPT 64650 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 64650 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 64650 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 |
|---|---|---|
| 64642-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. |
| 64643-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. |
| 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 64650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 64650 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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