LCD L39909: Botulinum Toxin Injections — WPS
Pain Management · LCD-L39909
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertCPT procedure code
$143.62
2026 Physician Fee Schedule · non-facility
Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A
National amount before geographic adjustment. Your MAC's locality rate will differ.
Code definition
Code
64616
Code system
CPT (Current Procedural Terminology)
This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.
Category
—
Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.
CLV Intelligence is tracking 11 policy changes that cite CPT 64616 most recently on 2026-06-05, drawn from 10 LCD/NCD coverage updates and 1 proposed LCD. The changes span Pain Management. 7 are flagged critical or high priority.
Counts reflect the source documents CLV has matched to CPT 64616 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.
Policy changes matched to 64616
Matched to this code by CLV analysis of each policy. The linked source document is authoritative.
Pain Management · LCD-L39909
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertPain Management · LCD-L35170
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertPain Management · LCD-L39836
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertPain Management · LCD-L35172
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertPain Management · LCD-L39832
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertPain Management · LCD-L39857
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertPain Management · LCD-DL39909
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertFull analysis available with a CLV subscription.
View alertFull analysis available with a CLV subscription.
View alertPain Management · LCD-L34635
Government source· CMS / MACverify ↗Full analysis available with a CLV subscription.
View alertAudit documentation
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