CPT code 95867: Needle EMG, cranial nerve muscles, one side2026 Medicare rate & RVUs in New Mexico
Reports needle electromyography of muscles supplied by cranial nerves on one side, such as when evaluating facial weakness or suspected cranial motor nerve dysfunction.
In New Mexico, Medicare pays $100.83 for 95867 in the office.
Check a contract rate as a % of Medicare · 95867 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 95867 covers
This study uses a fine needle electrode to record electrical activity in muscles supplied by cranial nerves on one side of the body. A neurologist or physiatrist commonly performs it to assess problems such as facial weakness or suspected cranial motor nerve dysfunction. The clinician samples appropriate muscles and evaluates their activity at rest and during voluntary contraction, then interprets the findings in the clinical context. It may be performed in an office or hospital setting.
Choose this code when the study evaluates cranial nerve-innervated muscles on one side; documentation should identify the side, muscles examined, clinical indication, findings, and interpretation. For bilateral cranial nerve muscle testing, use the bilateral code rather than reporting this unilateral service twice. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the combined 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 95867
Across 109 of 109 payment localities, the office rate for 95867 runs from $95.27 in Arkansas to $144.86 in San Benito County, CA. New Mexico pays $100.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$100.83
- Los Angeles, CA · California$122.49+$21.66
- Washington, DC area · District of Columbia$123.03+$22.20
- Miami, FL · Florida$112.55+$11.72
- Chicago, IL · Illinois$109.53+$8.70
- Manhattan, NY · New York$122.63+$21.80
- Alaska · Alaska$124.69+$23.86
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $96.62 | — |
| ArkansasArkansas | $95.27 | — |
| ArizonaArizona | $104.54 | — |
| Bakersfield, CACalifornia | $114.88 | — |
| Chico, CACalifornia | $114.73 | — |
| El Centro, CACalifornia | $114.74 | — |
| Fresno, CACalifornia | $114.73 | — |
| Hanford, CACalifornia | $114.73 | — |
| Madera, CACalifornia | $114.73 | — |
| Merced, CACalifornia | $114.73 | — |
| Modesto, CACalifornia | $114.73 | — |
| Napa, CACalifornia | $133.67 | — |
| Oxnard, CACalifornia | $122.02 | — |
| Redding, CACalifornia | $114.73 | — |
| Rest of CaliforniaCalifornia | $114.73 | — |
| Riverside, CACalifornia | $115.18 | — |
| Sacramento, CACalifornia | $120.59 | — |
| Salinas, CACalifornia | $120.14 | — |
| San Diego, CACalifornia | $123.09 | — |
| Marin County, CACalifornia | $141.80 | — |
| San Francisco, CACalifornia | $141.76 | — |
| San Benito County, CACalifornia | $144.86 | — |
| Santa Clara County, CACalifornia | $144.67 | — |
| San Luis Obispo, CACalifornia | $118.18 | — |
| Santa Cruz, CACalifornia | $124.37 | — |
| Santa Maria, CACalifornia | $120.62 | — |
| Santa Rosa, CACalifornia | $125.65 | — |
| Stockton, CACalifornia | $114.73 | — |
| Vallejo, CACalifornia | $133.61 | — |
| Visalia, CACalifornia | $114.73 | — |
| Yuba City, CACalifornia | $114.73 | — |
| ColoradoColorado | $112.36 | — |
| ConnecticutConnecticut | $114.18 | — |
| DelawareDelaware | $106.25 | — |
| Fort Lauderdale, FLFlorida | $109.34 | — |
| Rest of FloridaFlorida | $104.36 | — |
| Atlanta, GAGeorgia | $108.85 | — |
| Rest of GeorgiaGeorgia | $98.82 | — |
| Hawaii, Guam, HIHawaii | $117.64 | — |
| IowaIowa | $99.60 | — |
| IdahoIdaho | $100.10 | — |
| East St. Louis, ILIllinois | $102.16 | — |
| Rest of IllinoisIllinois | $100.99 | — |
| Suburban Chicago, ILIllinois | $110.59 | — |
| IndianaIndiana | $100.68 | — |
| KansasKansas | $98.86 | — |
| KentuckyKentucky | $98.21 | — |
| New Orleans, LALouisiana | $102.67 | — |
| Rest of LouisianaLouisiana | $97.94 | — |
| Metropolitan Boston, MAMassachusetts | $123.68 | — |
| Rest of MassachusettsMassachusetts | $111.61 | — |
| Baltimore area, MDMaryland | $113.80 | — |
| Rest of MarylandMaryland | $108.33 | — |
| Rest of MaineMaine | $100.30 | — |
| Southern Maine, MEMaine | $106.00 | — |
| Detroit, MIMichigan | $105.33 | — |
| Rest of MichiganMichigan | $100.42 | — |
| MinnesotaMinnesota | $108.60 | — |
| Metropolitan Kansas City, MOMissouri | $102.30 | — |
| Metropolitan St. Louis, MOMissouri | $103.37 | — |
| Rest of MissouriMissouri | $96.12 | — |
| MississippiMississippi | $95.73 | — |
| MontanaMontana | $107.21 | — |
| North CarolinaNorth Carolina | $101.36 | — |
| North DakotaNorth Dakota | $106.42 | — |
| NebraskaNebraska | $100.21 | — |
| New HampshireNew Hampshire | $110.34 | — |
| Northern New JerseyNew Jersey | $121.75 | — |
| Rest of New JerseyNew Jersey | $115.75 | — |
| NevadaNevada | $107.07 | — |
| NYC suburbs and Long Island, NYNew York | $125.16 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $116.27 | — |
| Queens, NYNew York | $124.04 | — |
| Rest of New YorkNew York | $102.81 | — |
| OhioOhio | $100.25 | — |
| OklahomaOklahoma | $98.34 | — |
| Portland, OROregon | $116.18 | — |
| Rest of OregonOregon | $106.50 | — |
| Metropolitan Philadelphia, PAPennsylvania | $111.22 | — |
| Rest of PennsylvaniaPennsylvania | $100.57 | — |
| Puerto RicoPuerto Rico | $108.08 | — |
| Rhode IslandRhode Island | $110.21 | — |
| South CarolinaSouth Carolina | $100.92 | — |
| South DakotaSouth Dakota | $106.33 | — |
| TennesseeTennessee | $99.30 | — |
| Austin, TXTexas | $111.77 | — |
| Beaumont, TXTexas | $99.91 | — |
| Brazoria, TXTexas | $106.41 | — |
| Dallas, TXTexas | $106.94 | — |
| Fort Worth, TXTexas | $106.15 | — |
| Galveston, TXTexas | $106.63 | — |
| Houston, TXTexas | $107.36 | — |
| Rest of TexasTexas | $103.00 | — |
| UtahUtah | $102.27 | — |
| VirginiaVirginia | $105.46 | — |
| Virgin Islands, VIUnited States Virgin Islands | $108.08 | — |
| VermontVermont | $105.76 | — |
| Rest of WashingtonWashington | $111.48 | — |
| King County, WAWashington | $126.46 | — |
| WisconsinWisconsin | $102.93 | — |
| West VirginiaWest Virginia | $97.29 | — |
| WyomingWyoming | $106.87 | — |
95867 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$95.27
$129.80
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $124.69 | 1 |
| AL | $96.62 | 1 |
| AR | $95.27 | 1 |
| AZ | $104.54 | 1 |
| CA | $114.73–$144.86 | 29 |
| CO | $112.36 | 1 |
| CT | $114.18 | 1 |
| DC | $123.03 | 1 |
| DE | $106.25 | 1 |
| FL | $104.36–$112.55 | 3 |
| GA | $98.82–$108.85 | 2 |
| GU | $117.64 | 1 |
| HI | $117.64 | 1 |
| IA | $99.60 | 1 |
| ID | $100.10 | 1 |
| IL | $100.99–$110.59 | 4 |
| IN | $100.68 | 1 |
| KS | $98.86 | 1 |
| KY | $98.21 | 1 |
| LA | $97.94–$102.67 | 2 |
| MA | $111.61–$123.68 | 2 |
| MD | $108.33–$123.03 | 3 |
| ME | $100.30–$106.00 | 2 |
| MI | $100.42–$105.33 | 2 |
| MN | $108.60 | 1 |
| MO | $96.12–$103.37 | 3 |
| MS | $95.73 | 1 |
| MT | $107.21 | 1 |
| NC | $101.36 | 1 |
| ND | $106.42 | 1 |
| NE | $100.21 | 1 |
| NH | $110.34 | 1 |
| NJ | $115.75–$121.75 | 2 |
| NM | $100.83 | 1 |
| NV | $107.07 | 1 |
| NY | $102.81–$125.16 | 5 |
| OH | $100.25 | 1 |
| OK | $98.34 | 1 |
| OR | $106.50–$116.18 | 2 |
| PA | $100.57–$111.22 | 2 |
| PR | $108.08 | 1 |
| RI | $110.21 | 1 |
| SC | $100.92 | 1 |
| SD | $106.33 | 1 |
| TN | $99.30 | 1 |
| TX | $99.91–$111.77 | 8 |
| UT | $102.27 | 1 |
| VA | $105.46–$123.03 | 2 |
| VI | $108.08 | 1 |
| VT | $105.76 | 1 |
| WA | $111.48–$126.46 | 2 |
| WI | $102.93 | 1 |
| WV | $97.29 | 1 |
| WY | $106.87 | 1 |
How the 95867 rate is calculated
Each of 95867’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 · 95867
RVUs × geographic indexes × conversion factor
Work0.77
0.77 RVUs× 1.000 GPCI
Practice expense2.40
2.40 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
3.2100
Conversion factor
$33.4009
Medicare rate
$107.22
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
12,594
- Code
- 95867
- Physician work
- 0.77
- Practice expense
- 2.40
- Malpractice
- 0.04
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.77 | × 1.000 | 0.7700 |
| Practice expense | 2.40 | × 0.917 | 2.2008 |
| Malpractice | 0.04 | × 1.201 | 0.0480 |
| Total RVUs | 3.0188 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$100.83
Office: (0.77 × 1 + 2.4 × 0.917 + 0.04 × 1.201) × $33.4009 = $100.83
Payment rules and modifiers for 95867
The CMS indicators that decide how 95867 is paid alongside other services.
CMS payment indicators · 95867
Needle EMG, cranial nerve muscles, one side
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
95867 without 26 · national office
$107.22
Needle EMG, cranial nerve muscles, one side
95867-26 · Professional component
$41.08
Pays only the interpretation and report.
How 95867 has changed in New Mexico
95867 · Office / nonfacility
$100.83
Effective 2026-10-01
The base rate is $6.71 higher than on 2025-10-01, moving from $94.12 to $100.83 (7.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$94.12changed to$100.83
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.79 changed to 0.77
- Practice expense RVU 2.27 changed to 2.40
- Malpractice RVU 0.05 changed to 0.04
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$99.28changed to$94.12
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.35 changed to 2.27
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$97.66changed to$99.28
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$100.89changed to$97.66
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.36 changed to 2.35
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$103.46changed to$100.89
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.39 changed to 2.36
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$106.20changed to$103.46
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.45 changed to 2.39
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$103.22changed to$106.20
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.20 changed to 2.45
- Malpractice RVU 0.06 changed to 0.05
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$102.53changed to$103.22
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.15 changed to 2.20
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$98.77changed to$102.53
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.04 changed to 2.15
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$93.25changed to$98.77
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.90 changed to 2.04
- Malpractice RVU 0.05 changed to 0.06
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$90.58changed to$93.25
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.83 changed to 1.90
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$89.50changed to$90.58
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.80 changed to 1.83
- Malpractice RVU 0.04 changed to 0.05
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$89.05changed to$89.50
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$88.71changed to$89.05
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.79 changed to 1.80
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$108.02changed to$88.71
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 2.56 changed to 1.79
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $108.02
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $100.83 | Not available in this setting | RVU26D |
| 2026-07-01 | $100.83 | Not available in this setting | RVU26C |
| 2026-04-01 | $100.83 | Not available in this setting | RVU26B |
| 2026-01-01 | $100.83 | Not available in this setting | RVU26A |
| 2025-10-01 | $94.12 | Not available in this setting | RVU25D |
| 2025-07-01 | $94.12 | Not available in this setting | RVU25C |
| 2025-04-01 | $94.12 | Not available in this setting | RVU25B |
| 2025-01-01 | $94.12 | Not available in this setting | RVU25A |
| 2024-10-01 | $99.28 | Not available in this setting | RVU24D |
| 2024-07-01 | $99.28 | Not available in this setting | RVU24C |
| 2024-04-01 | $99.28 | Not available in this setting | RVU24B |
| 2024-03-09 | $99.28 | Not available in this setting | RVU24AR |
| 2024-01-01 | $97.66 | Not available in this setting | RVU24A |
| 2023-10-01 | $100.89 | Not available in this setting | RVU23D |
| 2023-07-01 | $100.89 | Not available in this setting | RVU23C |
| 2023-04-01 | $100.89 | Not available in this setting | RVU23B |
| 2023-01-01 | $100.89 | Not available in this setting | RVU23A |
| 2022-10-01 | $103.46 | Not available in this setting | RVU22D |
| 2022-07-01 | $103.46 | Not available in this setting | RVU22C |
| 2022-04-01 | $103.46 | Not available in this setting | RVU22B |
| 2022-01-01 | $103.46 | Not available in this setting | RVU22A |
| 2021-10-01 | $106.20 | Not available in this setting | RVU21D |
| 2021-07-01 | $106.20 | Not available in this setting | RVU21C |
| 2021-04-01 | $106.20 | Not available in this setting | RVU21B |
| 2021-01-01 | $106.20 | Not available in this setting | RVU21A |
| 2020-10-01 | $103.22 | Not available in this setting | RVU20D |
| 2020-07-01 | $103.22 | Not available in this setting | RVU20C |
| 2020-04-01 | $103.22 | Not available in this setting | RVU20B |
| 2020-01-01 | $103.22 | Not available in this setting | RVU20A |
| 2019-10-01 | $102.53 | Not available in this setting | RVU19D |
| 2019-07-01 | $102.53 | Not available in this setting | RVU19C |
| 2019-04-01 | $102.53 | Not available in this setting | RVU19B |
| 2019-01-01 | $102.53 | Not available in this setting | RVU19A |
| 2018-10-01 | $98.77 | Not available in this setting | RVU18D |
| 2018-07-01 | $98.77 | Not available in this setting | RVU18C |
| 2018-04-01 | $98.77 | Not available in this setting | RVU18B |
| 2018-01-01 | $98.77 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $93.25 | Not available in this setting | RVU17D |
| 2017-07-01 | $93.25 | Not available in this setting | RVU17C |
| 2017-04-01 | $93.25 | Not available in this setting | RVU17B |
| 2017-01-01 | $93.25 | Not available in this setting | RVU17A |
| 2016-10-01 | $90.58 | Not available in this setting | RVU16D |
| 2016-07-01 | $90.58 | Not available in this setting | RVU16C |
| 2016-04-01 | $90.58 | Not available in this setting | RVU16B |
| 2016-01-01 | $90.58 | Not available in this setting | RVU16A |
| 2015-10-01 | $89.50 | Not available in this setting | RVU15D |
| 2015-07-01 | $89.50 | Not available in this setting | RVU15C |
| 2015-04-01 | $89.05 | Not available in this setting | RVU15B |
| 2015-01-01 | $89.05 | Not available in this setting | RVU15A |
| 2014-10-01 | $88.71 | Not available in this setting | RVU14D |
| 2014-07-01 | $88.71 | Not available in this setting | RVU14C |
| 2014-04-01 | $88.71 | Not available in this setting | RVU14B |
| 2014-01-01 | $88.71 | Not available in this setting | RVU14A |
| 2013-10-01 | $108.02 | Not available in this setting | RVU13D |
| 2013-07-01 | $108.02 | Not available in this setting | RVU13C |
| 2013-04-01 | $108.02 | Not available in this setting | RVU13B |
| 2013-01-01 | $108.02 | Not available in this setting | RVU13AR |
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
95867 billing questions
When should 95867 be chosen over 95868?
Use 95867 when cranial nerve-innervated muscles are tested on one side. Use 95868 when the study covers both sides.
What should the report document?
Document the clinical reason for testing, the side and muscles examined, the needle EMG findings, and the interpretation.
How are the professional and technical portions reported?
Modifier 26 reports the professional interpretation, and modifier TC reports the technical portion, including equipment and staff. Without either modifier, the code represents the combined service.
Can 95867 be reported for laryngeal muscle testing?
Use 95865 for needle EMG focused on laryngeal muscles. Code 95867 is for cranial nerve-innervated muscles outside that site-specific service.
Is this code reported once for each muscle tested?
The code describes unilateral cranial nerve muscle testing, not a separate unit for each sampled muscle. Document the muscles examined and select the code according to the side or sides studied.
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
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