CPT code 95863: Needle EMG, three extremities2026 Medicare rate & RVUs

Medicare pays $220.45 for 95863 nationally in the office. Local office rates run $196.90–$294.98.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 95863 covers

Needle electromyography evaluates electrical activity in selected muscles in three extremities. A neurologist or physical medicine and rehabilitation physician commonly performs the study for suspected peripheral neuropathy, radiculopathy, plexopathy, motor neuron disease, or muscle disease. The clinician inserts a needle electrode into muscles and assesses findings such as spontaneous activity and motor-unit recruitment. Nerve conduction studies may be performed during the same diagnostic encounter.

Report this code when the needle examination covers three extremities; the selection is based on extremities studied, not the number of muscles sampled. Documentation should identify the clinical question, extremities and muscles examined, relevant findings, and the interpreting physician’s conclusions. CMS recognizes a professional component for interpretation, reported with modifier 26, and a technical component for equipment and staff, reported with modifier TC. Reporting without either modifier represents the global service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 95863 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

95863 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 95863 rate is calculated

Each of 95863’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 95863

The CMS indicators that decide how 95863 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95863 compared with similar codes

How to choose

95861Needle EMGTwo extremities

Use 95861 when the needle examination covers two extremities. Use 95863 when it covers three.

95864Needle EMGFour extremities

Use 95864 for a needle examination of four extremities; 95863 represents three.

95886Needle EMG add-onComplete study, each extremity

Code 95886 describes a complete extremity EMG performed with nerve conduction testing. Code 95863 represents a three-extremity needle EMG, so select based on the service and reporting circumstances.

Codes related to 95863

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates