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

Needle electromyography sampling three extremities evaluates muscle electrical activity to investigate conditions such as neuropathy, radiculopathy, or motor neuron disease.

CMS RVU26DEffective Oct 1, 2026One payment locality56 Medicare services in 2024

In New Mexico, Medicare pays $208.05 for 95863 in the office.

$208.05Office (non-facility)
Not available in this settingHospital or facility
−5.6%vs the national office rate ($220.45)

Check a contract rate as a % of Medicare · 95863 nationwide

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

We’ll open 95863 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 95863 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How New Mexico compares for 95863

Across 109 of 109 payment localities, the office rate for 95863 runs from $196.90 in Arkansas to $294.98 in San Benito County, CA. New Mexico pays $208.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

95863 in New Mexico vs other payment areas
  1. New Mexico · this page$208.05
  2. Los Angeles, CA · California$250.60+$42.55
  3. Washington, DC area · District of Columbia$251.95+$43.90
  4. Miami, FL · Florida$231.46+$23.41
  5. Chicago, IL · Illinois$225.55+$17.50
  6. Manhattan, NY · New York$251.48+$43.43
  7. Alaska · Alaska$259.67+$51.62

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

95863 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$199.56—
ArkansasArkansas$196.90—
ArizonaArizona$215.16—
Bakersfield, CACalifornia$235.46—
Chico, CACalifornia$235.12—
El Centro, CACalifornia$235.14—
Fresno, CACalifornia$235.12—
Hanford, CACalifornia$235.12—

95863 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$196.90

$265.05

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95863 office rate range by state
State / territoryOffice rate rangeLocalities
AK$259.671
AL$199.561
AR$196.901
AZ$215.161
CA$235.12–$294.9829
CO$230.541
CT$234.361
DC$251.951
DE$218.571
FL$215.07–$231.463
GA$204.10–$223.742
GU$240.641
HI$240.641
IA$205.321
ID$206.331
IL$208.51–$227.424
IN$207.471
KS$203.921
KY$202.801
LA$202.30–$211.612
MA$229.11–$253.002
MD$222.69–$251.953
ME$206.78–$217.932
MI$207.21–$217.032
MN$222.871
MO$198.75–$212.933
MS$197.891
MT$220.441
NC$208.871
ND$218.661
NE$206.511
NH$226.491
NJ$237.58–$249.542
NM$208.051
NV$220.101
NY$211.72–$256.525
OH$206.841
OK$203.011
OR$218.93–$238.042
PA$207.44–$228.542
PR$222.121
RI$226.451
SC$208.091
SD$218.451
TN$204.801
TX$206.13–$229.318
UT$210.741
VA$216.90–$251.952
VI$222.121
VT$217.391
WA$228.82–$258.492
WI$211.791
WV$201.221
WY$219.661

See 95863 in every payment locality

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.

How the rate is built · 95863

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.82

1.82 RVUs× 1.000 GPCI

Practice expense4.69

4.69 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

6.6000

Conversion factor

$33.4009

Medicare rate

$220.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,582

Code
95863
Physician work
1.82
Practice expense
4.69
Malpractice
0.09

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 95863 in New Mexico
ComponentRVULocality factorAdjusted
Physician work1.82× 1.0001.8200
Practice expense4.69× 0.9174.3007
Malpractice0.09× 1.2010.1081
Total RVUs6.2288
Conversion factor× 33.4009

Office rate, New Mexico$208.05

Office: (1.82 × 1 + 4.69 × 0.917 + 0.09 × 1.201) × $33.4009 = $208.05

Open 95863 in the RVU calculator

Payment rules and modifiers for 95863

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

CMS payment indicators · 95863

Needle EMG, three extremities

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

95863 without 26 · national office

$220.45

Needle EMG, three extremities

95863-26 · Professional component

$98.87

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95863

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

Codes related to 95863
CodeHow it relatesOffice range, New Mexico
Same family
95860Needle EMG, one extremityNeedle EMG sibling for one extremity.$112.73
95861Needle EMG, two extremitiesNeedle EMG sibling for two extremities.$153.47
95864Needle EMG, four extremitiesNeedle EMG sibling for four extremities.$226.76
Used instead
95885Needle EMG, limited, with nerve conductionLimited needle EMG code used with nerve conduction testing.$60.15
95886Needle EMG add-on, complete study, each extremityComplete extremity needle EMG code used with nerve conduction testing.$94.19

How 95863 has changed in New Mexico

95863 · Office / nonfacility

$208.05

Effective 2026-10-01

The base rate is $17.35 higher than on 2025-10-01, moving from $190.70 to $208.05 (9.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $190.70changed to$208.05

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.87 changed to 1.82
    • Practice expense RVU 4.33 changed to 4.69
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $194.22changed to$190.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.25 changed to 4.33
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $191.05changed to$194.22

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $197.15changed to$191.05

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.26 changed to 4.25
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172

  5. January 1, 2023

    RVU23A

    $206.02changed to$197.15

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.44 changed to 4.26
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $212.85changed to$206.02

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.63 changed to 4.44
    • Malpractice RVU 0.07 changed to 0.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $204.45changed to$212.85

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.06 changed to 4.63
    • Malpractice RVU 0.09 changed to 0.07
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $210.63changed to$204.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.18 changed to 4.06
    • Malpractice RVU 0.10 changed to 0.09
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $216.37changed to$210.63

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.36 changed to 4.18

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $210.44changed to$216.37

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.21 changed to 4.36
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $204.37changed to$210.44

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.05 changed to 4.21
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $205.20changed to$204.37

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.04 changed to 4.05
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $204.18changed to$205.20

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $194.39changed to$204.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.78 changed to 4.04
    • Malpractice RVU 0.08 changed to 0.11
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $200.97changed to$194.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.32 changed to 3.78
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $200.97

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$208.05Not available in this settingRVU26D
2026-07-01$208.05Not available in this settingRVU26C
2026-04-01$208.05Not available in this settingRVU26B
2026-01-01$208.05Not available in this settingRVU26A
2025-10-01$190.70Not available in this settingRVU25D
2025-07-01$190.70Not available in this settingRVU25C
2025-04-01$190.70Not available in this settingRVU25B
2025-01-01$190.70Not available in this settingRVU25A
2024-10-01$194.22Not available in this settingRVU24D
2024-07-01$194.22Not available in this settingRVU24C
2024-04-01$194.22Not available in this settingRVU24B
2024-03-09$194.22Not available in this settingRVU24AR
2024-01-01$191.05Not available in this settingRVU24A
2023-10-01$197.15Not available in this settingRVU23D
2023-07-01$197.15Not available in this settingRVU23C
2023-04-01$197.15Not available in this settingRVU23B
2023-01-01$197.15Not available in this settingRVU23A
2022-10-01$206.02Not available in this settingRVU22D
2022-07-01$206.02Not available in this settingRVU22C
2022-04-01$206.02Not available in this settingRVU22B
2022-01-01$206.02Not available in this settingRVU22A
2021-10-01$212.85Not available in this settingRVU21D
2021-07-01$212.85Not available in this settingRVU21C
2021-04-01$212.85Not available in this settingRVU21B
2021-01-01$212.85Not available in this settingRVU21A
2020-10-01$204.45Not available in this settingRVU20D
2020-07-01$204.45Not available in this settingRVU20C
2020-04-01$204.45Not available in this settingRVU20B
2020-01-01$204.45Not available in this settingRVU20A
2019-10-01$210.63Not available in this settingRVU19D
2019-07-01$210.63Not available in this settingRVU19C
2019-04-01$210.63Not available in this settingRVU19B
2019-01-01$210.63Not available in this settingRVU19A
2018-10-01$216.37Not available in this settingRVU18D
2018-07-01$216.37Not available in this settingRVU18C
2018-04-01$216.37Not available in this settingRVU18B
2018-01-01$216.37Not available in this settingRVU18AR1
2017-10-01$210.44Not available in this settingRVU17D
2017-07-01$210.44Not available in this settingRVU17C
2017-04-01$210.44Not available in this settingRVU17B
2017-01-01$210.44Not available in this settingRVU17A
2016-10-01$204.37Not available in this settingRVU16D
2016-07-01$204.37Not available in this settingRVU16C
2016-04-01$204.37Not available in this settingRVU16B
2016-01-01$204.37Not available in this settingRVU16A
2015-10-01$205.20Not available in this settingRVU15D
2015-07-01$205.20Not available in this settingRVU15C
2015-04-01$204.18Not available in this settingRVU15B
2015-01-01$204.18Not available in this settingRVU15A
2014-10-01$194.39Not available in this settingRVU14D
2014-07-01$194.39Not available in this settingRVU14C
2014-04-01$194.39Not available in this settingRVU14B
2014-01-01$194.39Not available in this settingRVU14A
2013-10-01$200.97Not available in this settingRVU13D
2013-07-01$200.97Not available in this settingRVU13C
2013-04-01$200.97Not available in this settingRVU13B
2013-01-01$200.97Not available in this settingRVU13AR

Price 95863 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

95863 billing questions

How is this code distinguished from the one- or two-extremity needle EMG codes?

Select the code according to the number of extremities examined by needle EMG. This code represents a study of three extremities, rather than one or two.

Does the number of muscles sampled determine the code?

No. The code level is based on the number of extremities studied, while the record should identify the muscles examined.

Can this be reported with nerve conduction studies?

Needle EMG and nerve conduction studies may be performed in the same diagnostic encounter. Document the distinct testing performed and report the applicable codes for the services provided.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

How does this differ from 95886?

This code identifies a needle EMG covering three extremities. Code 95886 is used for a complete extremity EMG performed in conjunction with nerve conduction testing, with its own unit and reporting rules.

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

Show the CMS file lines behind this rate
RVUs for 95863PPRRVU2026_Oct_nonQPP.csv, line 12,582 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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