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CPT code 95864: Needle EMG, four extremities2026 Medicare rate & RVUs in Miami, FL

Reports needle electromyography sampling across all four extremities to evaluate suspected peripheral nerve, nerve root, motor neuron, or muscle disorders.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2K Medicare services in 2024

In Miami, FL, Medicare pays $252.16 for 95864 in the office.

$252.16Office (non-facility)
Not available in this settingHospital or facility
+4.9%vs the national office rate ($240.49)

Check a contract rate as a % of Medicare · 95864 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 95864 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 95864 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 95864 covers

A clinician inserts a fine needle electrode into selected muscles in all four limbs and records electrical activity at rest and during muscle contraction. The findings help evaluate conditions such as radiculopathy, peripheral neuropathy, motor neuron disease, or myopathy. Neurologists and physical medicine and rehabilitation physicians commonly perform or interpret the study in outpatient electrodiagnostic laboratories and hospital settings; relevant paraspinal muscles may also be sampled when clinically indicated.

Choose this code when the needle examination covers all four extremities, rather than fewer limbs or a limited muscle sample. The report should identify the limbs and muscles examined, relevant findings, and the clinical question addressed. CMS recognizes a professional interpretation component and a technical component for equipment and staff: report modifier 26 for the professional component, modifier TC for the technical component, or neither modifier for 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 Miami, FL compares for 95864

Across 109 of 109 payment localities, the office rate for 95864 runs from $214.68 in Arkansas to $322.55 in San Benito County, CA. Miami, FL pays $252.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

95864 in Miami, FL vs other payment areas
  1. Miami, FL · this page$252.16
  2. Fort Lauderdale, FL · Florida$245.16−$7.00
  3. Rest of Florida · Florida$234.40−$17.76
  4. Los Angeles, CA · California$273.73+$21.57
  5. Washington, DC area · District of Columbia$275.06+$22.90
  6. Chicago, IL · Illinois$245.70−$6.46
  7. Manhattan, NY · New York$274.37+$22.21

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

Every other payment area

95864 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$282.76—
AlabamaAlabama$217.60—
ArkansasArkansas$214.68—
ArizonaArizona$234.70—
Bakersfield, CACalifornia$257.12—
Chico, CACalifornia$256.77—
El Centro, CACalifornia$256.79—
Fresno, CACalifornia$256.77—

95864 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.

$214.68

$289.66

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

View every state and territory as a table
95864 office rate range by state
State / territoryOffice rate rangeLocalities
AK$282.761
AL$217.601
AR$214.681
AZ$234.701
CA$256.77–$322.5529
CO$251.661
CT$255.711
DC$275.061
DE$238.431
FL$234.40–$252.163
GA$222.41–$244.052
GU$262.881
HI$262.881
IA$224.001
ID$225.091
IL$227.16–$247.924
IN$226.341
KS$222.421
KY$221.061
LA$220.50–$230.712
MA$250.07–$276.312
MD$242.96–$275.063
ME$225.54–$237.822
MI$225.85–$236.502
MN$243.381
MO$216.58–$232.203
MS$215.701
MT$240.481
NC$227.831
ND$238.701
NE$225.321
NH$247.191
NJ$259.26–$272.402
NM$226.761
NV$240.161
NY$230.96–$279.855
OH$225.491
OK$221.341
OR$238.90–$259.922
PA$226.16–$249.312
PR$242.341
RI$247.091
SC$226.911
SD$238.491
TN$223.381
TX$224.73–$250.298
UT$229.821
VA$236.67–$275.062
VI$242.341
VT$237.271
WA$249.76–$282.382
WI$231.151
WV$219.161
WY$239.701

See 95864 in every payment locality

How the 95864 rate is calculated

Each of 95864’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 · 95864

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.94

1.94 RVUs× 1.000 GPCI

Practice expense5.17

5.17 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

7.2000

Conversion factor

$33.4009

Medicare rate

$240.49

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,585

Code
95864
Physician work
1.94
Practice expense
5.17
Malpractice
0.09

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 95864 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0001.9400
Practice expense5.17× 1.0415.3820
Malpractice0.09× 2.5290.2276
Total RVUs7.5496
Conversion factor× 33.4009

Office rate, Miami, FL$252.16

Office: (1.94 × 1 + 5.17 × 1.041 + 0.09 × 2.529) × $33.4009 = $252.16

Open 95864 in the RVU calculator

Payment rules and modifiers for 95864

The CMS indicators that decide how 95864 is paid alongside other services.

CMS payment indicators · 95864

Needle EMG, four 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

95864 without 26 · national office

$240.49

Needle EMG, four extremities

95864-26 · Professional component

$104.88

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95864

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

Codes related to 95864
CodeHow it relatesOffice range, Miami, FL
Same family
95860Needle EMG, one extremityNeedle EMG sibling for examination of one extremity.$125.68
95861Needle EMG, two extremitiesNeedle EMG sibling for examination of two extremities.$170.56
95863Needle EMG, three extremitiesNeedle EMG sibling for examination of three extremities.$231.46
Used instead
95885Needle EMG, limited, with nerve conductionLimited needle examination by extremity when performed with nerve conduction testing.$67.14
95886Needle EMG add-on, complete study, each extremityComplete needle examination by extremity when performed with nerve conduction testing.$104.30

How 95864 has changed in Miami, FL

95864 · Office / nonfacility

$252.16

Effective 2026-10-01

The base rate is $29.03 higher than on 2025-10-01, moving from $223.13 to $252.16 (13.0%).

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

    $223.13changed to$252.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.99 changed to 1.94
    • Practice expense RVU 4.56 changed to 5.17
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $240.86changed to$223.13

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.84 changed to 4.56
    • Malpractice RVU 0.11 changed to 0.09

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $236.93changed to$240.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $246.15changed to$236.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.87 changed to 4.84
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $257.65changed to$246.15

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.05 changed to 4.87
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $266.93changed to$257.65

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.25 changed to 5.05

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $265.59changed to$266.93

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.98 changed to 5.25
    • Malpractice RVU 0.10 changed to 0.11
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $266.75changed to$265.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.96 changed to 4.98
    • Malpractice RVU 0.12 changed to 0.10
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $266.83changed to$266.75

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.97 changed to 4.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $261.39changed to$266.83

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.84 changed to 4.97
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $256.98changed to$261.39

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.66 changed to 4.84
    • Malpractice RVU 0.15 changed to 0.12
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $257.30changed to$256.98

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.74 changed to 4.66
    • Malpractice RVU 0.11 changed to 0.15

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $256.02changed to$257.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $248.31changed to$256.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.53 changed to 4.74
    • Malpractice RVU 0.08 changed to 0.11
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $258.97changed to$248.31

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.12 changed to 4.53
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $258.97

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$252.16Not available in this settingRVU26D
2026-07-01$252.16Not available in this settingRVU26C
2026-04-01$252.16Not available in this settingRVU26B
2026-01-01$252.16Not available in this settingRVU26A
2025-10-01$223.13Not available in this settingRVU25D
2025-07-01$223.13Not available in this settingRVU25C
2025-04-01$223.13Not available in this settingRVU25B
2025-01-01$223.13Not available in this settingRVU25A
2024-10-01$240.86Not available in this settingRVU24D
2024-07-01$240.86Not available in this settingRVU24C
2024-04-01$240.86Not available in this settingRVU24B
2024-03-09$240.86Not available in this settingRVU24AR
2024-01-01$236.93Not available in this settingRVU24A
2023-10-01$246.15Not available in this settingRVU23D
2023-07-01$246.15Not available in this settingRVU23C
2023-04-01$246.15Not available in this settingRVU23B
2023-01-01$246.15Not available in this settingRVU23A
2022-10-01$257.65Not available in this settingRVU22D
2022-07-01$257.65Not available in this settingRVU22C
2022-04-01$257.65Not available in this settingRVU22B
2022-01-01$257.65Not available in this settingRVU22A
2021-10-01$266.93Not available in this settingRVU21D
2021-07-01$266.93Not available in this settingRVU21C
2021-04-01$266.93Not available in this settingRVU21B
2021-01-01$266.93Not available in this settingRVU21A
2020-10-01$265.59Not available in this settingRVU20D
2020-07-01$265.59Not available in this settingRVU20C
2020-04-01$265.59Not available in this settingRVU20B
2020-01-01$265.59Not available in this settingRVU20A
2019-10-01$266.75Not available in this settingRVU19D
2019-07-01$266.75Not available in this settingRVU19C
2019-04-01$266.75Not available in this settingRVU19B
2019-01-01$266.75Not available in this settingRVU19A
2018-10-01$266.83Not available in this settingRVU18D
2018-07-01$266.83Not available in this settingRVU18C
2018-04-01$266.83Not available in this settingRVU18B
2018-01-01$266.83Not available in this settingRVU18AR1
2017-10-01$261.39Not available in this settingRVU17D
2017-07-01$261.39Not available in this settingRVU17C
2017-04-01$261.39Not available in this settingRVU17B
2017-01-01$261.39Not available in this settingRVU17A
2016-10-01$256.98Not available in this settingRVU16D
2016-07-01$256.98Not available in this settingRVU16C
2016-04-01$256.98Not available in this settingRVU16B
2016-01-01$256.98Not available in this settingRVU16A
2015-10-01$257.30Not available in this settingRVU15D
2015-07-01$257.30Not available in this settingRVU15C
2015-04-01$256.02Not available in this settingRVU15B
2015-01-01$256.02Not available in this settingRVU15A
2014-10-01$248.31Not available in this settingRVU14D
2014-07-01$248.31Not available in this settingRVU14C
2014-04-01$248.31Not available in this settingRVU14B
2014-01-01$248.31Not available in this settingRVU14A
2013-10-01$258.97Not available in this settingRVU13D
2013-07-01$258.97Not available in this settingRVU13C
2013-04-01$258.97Not available in this settingRVU13B
2013-01-01$258.97Not available in this settingRVU13AR

Price 95864 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

95864 billing questions

When should 95864 be selected instead of 95863?

Use 95864 when the needle examination covers all four extremities. Code 95863 describes a study covering three extremities.

Does 95864 represent four units?

The code represents a needle EMG study of four extremities, not one unit for each limb. Document the limbs and muscles examined.

How are the professional and technical portions reported?

Use modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Report without either modifier when billing the global service.

How does 95864 differ from 95886?

95864 covers needle examination of four extremities. Code 95886 is reported by extremity for a complete needle examination performed with nerve conduction testing.

What documentation supports 95864?

Record the clinical reason for testing, the extremities and muscles sampled, and the examination findings and interpretation. The documentation should support that the study covered all four extremities.

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 95864PPRRVU2026_Oct_nonQPP.csv, line 12,585 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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