CPT code 95870: Needle EMG, limited muscle study2026 Medicare rate & RVUs in Mississippi

Reports a focused needle EMG sampling muscles in one extremity or axial muscles when the examination is limited rather than a broader extremity study.

CMS RVU26DEffective Oct 1, 2026One payment locality47.3K Medicare services in 2024

In Mississippi, Medicare pays $76.03 for 95870 in the office.

$76.03Office (non-facility)
Not available in this settingHospital or facility
−12.1%vs the national office rate ($86.51)

Check a contract rate as a % of Medicare · 95870 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 95870 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 95870 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 95870 covers

A clinician inserts a fine needle electrode into selected muscles and evaluates their electrical activity at rest and during contraction. This limited examination may help assess a focused concern, such as localized weakness or suspected nerve-related muscle changes. Neurologists and physiatrists commonly perform needle EMG in an electrodiagnostic laboratory, outpatient clinic, or hospital setting. The muscles examined may be in one limb or in an axial area; the specific code for the service depends on the body region and scope of the examination.

Choose this code when the documented needle examination is limited, rather than a broader study of one or more extremities. The report should identify the muscles examined, the clinical question, and the findings supporting the interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and reporting without either modifier represents the global service. The professional and technical components are separately priced when billed with their respective modifiers.

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 Mississippi compares for 95870

Across 109 of 109 payment localities, the office rate for 95870 runs from $75.66 in Arkansas to $119.85 in San Benito County, CA. Mississippi pays $76.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

95870 in Mississippi vs other payment areas
  1. Mississippi · this page$76.03
  2. Los Angeles, CA · California$100.11+$24.08
  3. Washington, DC area · District of Columbia$100.35+$24.32
  4. Miami, FL · Florida$91.05+$15.02
  5. Chicago, IL · Illinois$88.26+$12.23
  6. Manhattan, NY · New York$99.77+$23.74
  7. Alaska · Alaska$96.85+$20.82

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

Every other payment area

95870 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$76.89—
ArkansasArkansas$75.66—
ArizonaArizona$84.09—
Bakersfield, CACalifornia$93.40—
Chico, CACalifornia$93.30—
El Centro, CACalifornia$93.31—
Fresno, CACalifornia$93.30—
Hanford, CACalifornia$93.30—

95870 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.

$75.66

$106.57

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

View every state and territory as a table
95870 office rate range by state
State / territoryOffice rate rangeLocalities
AK$96.851
AL$76.891
AR$75.661
AZ$84.091
CA$93.30–$119.8529
CO$91.141
CT$92.621
DC$100.351
DE$85.591
FL$83.78–$91.053
GA$78.76–$87.922
GU$96.151
HI$96.151
IA$79.661
ID$80.101
IL$80.68–$89.354
IN$80.631
KS$78.961
KY$78.271
LA$78.02–$82.312
MA$90.39–$101.152
MD$87.43–$100.353
ME$80.25–$85.482
MI$80.24–$84.622
MN$87.931
MO$76.34–$82.983
MS$76.031
MT$86.511
NC$81.221
ND$85.911
NE$80.231
NH$89.401
NJ$93.85–$99.092
NM$80.611
NV$86.411
NY$82.54–$102.025
OH$80.121
OK$78.421
OR$85.92–$94.602
PA$80.43–$89.932
PR$87.301
RI$89.051
SC$80.771
SD$85.841
TN$79.361
TX$79.82–$90.688
UT$82.001
VA$84.96–$100.352
VI$87.301
VT$85.281
WA$90.32–$103.612
WI$82.731
WV$77.311
WY$86.251

See 95870 in every payment locality

How the 95870 rate is calculated

Each of 95870’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 · 95870

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.36

0.36 RVUs× 1.000 GPCI

Practice expense2.20

2.20 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

2.5900

Conversion factor

$33.4009

Medicare rate

$86.51

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,603

Code
95870
Physician work
0.36
Practice expense
2.20
Malpractice
0.03

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 95870 in Mississippi
ComponentRVULocality factorAdjusted
Physician work0.36× 1.0000.3600
Practice expense2.20× 0.8611.8942
Malpractice0.03× 0.7390.0222
Total RVUs2.2764
Conversion factor× 33.4009

Office rate, Mississippi$76.03

Office: (0.36 × 1 + 2.2 × 0.861 + 0.03 × 0.739) × $33.4009 = $76.03

Open 95870 in the RVU calculator

Payment rules and modifiers for 95870

The CMS indicators that decide how 95870 is paid alongside other services.

CMS payment indicators · 95870

Needle EMG, limited muscle study

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

95870 without 26 · national office

$86.51

Needle EMG, limited muscle study

95870-26 · Professional component

$19.71

Pays only the interpretation and report.

When to use modifier 26

How 95870 has changed in Mississippi

95870 · Office / nonfacility

$76.03

Effective 2026-10-01

The base rate is $8.20 higher than on 2025-10-01, moving from $67.83 to $76.03 (12.1%).

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

    $67.83changed to$76.03

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.37 changed to 0.36
    • Practice expense RVU 2.00 changed to 2.20
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $72.36changed to$67.83

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.09 changed to 2.00

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $71.18changed to$72.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $73.26changed to$71.18

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $76.73changed to$73.26

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.17 changed to 2.09
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $80.60changed to$76.73

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.28 changed to 2.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $80.65changed to$80.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.16 changed to 2.28
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $82.09changed to$80.65

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.18 changed to 2.16
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $85.75changed to$82.09

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.30 changed to 2.18

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $82.88changed to$85.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.22 changed to 2.30
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $82.89changed to$82.88

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.23 changed to 2.22
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $78.93changed to$82.89

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.10 changed to 2.23
    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $78.54changed to$78.93

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $77.89changed to$78.54

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.07 changed to 2.10
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $80.87changed to$77.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.30 changed to 2.07
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $80.87

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$76.03Not available in this settingRVU26D
2026-07-01$76.03Not available in this settingRVU26C
2026-04-01$76.03Not available in this settingRVU26B
2026-01-01$76.03Not available in this settingRVU26A
2025-10-01$67.83Not available in this settingRVU25D
2025-07-01$67.83Not available in this settingRVU25C
2025-04-01$67.83Not available in this settingRVU25B
2025-01-01$67.83Not available in this settingRVU25A
2024-10-01$72.36Not available in this settingRVU24D
2024-07-01$72.36Not available in this settingRVU24C
2024-04-01$72.36Not available in this settingRVU24B
2024-03-09$72.36Not available in this settingRVU24AR
2024-01-01$71.18Not available in this settingRVU24A
2023-10-01$73.26Not available in this settingRVU23D
2023-07-01$73.26Not available in this settingRVU23C
2023-04-01$73.26Not available in this settingRVU23B
2023-01-01$73.26Not available in this settingRVU23A
2022-10-01$76.73Not available in this settingRVU22D
2022-07-01$76.73Not available in this settingRVU22C
2022-04-01$76.73Not available in this settingRVU22B
2022-01-01$76.73Not available in this settingRVU22A
2021-10-01$80.60Not available in this settingRVU21D
2021-07-01$80.60Not available in this settingRVU21C
2021-04-01$80.60Not available in this settingRVU21B
2021-01-01$80.60Not available in this settingRVU21A
2020-10-01$80.65Not available in this settingRVU20D
2020-07-01$80.65Not available in this settingRVU20C
2020-04-01$80.65Not available in this settingRVU20B
2020-01-01$80.65Not available in this settingRVU20A
2019-10-01$82.09Not available in this settingRVU19D
2019-07-01$82.09Not available in this settingRVU19C
2019-04-01$82.09Not available in this settingRVU19B
2019-01-01$82.09Not available in this settingRVU19A
2018-10-01$85.75Not available in this settingRVU18D
2018-07-01$85.75Not available in this settingRVU18C
2018-04-01$85.75Not available in this settingRVU18B
2018-01-01$85.75Not available in this settingRVU18AR1
2017-10-01$82.88Not available in this settingRVU17D
2017-07-01$82.88Not available in this settingRVU17C
2017-04-01$82.88Not available in this settingRVU17B
2017-01-01$82.88Not available in this settingRVU17A
2016-10-01$82.89Not available in this settingRVU16D
2016-07-01$82.89Not available in this settingRVU16C
2016-04-01$82.89Not available in this settingRVU16B
2016-01-01$82.89Not available in this settingRVU16A
2015-10-01$78.93Not available in this settingRVU15D
2015-07-01$78.93Not available in this settingRVU15C
2015-04-01$78.54Not available in this settingRVU15B
2015-01-01$78.54Not available in this settingRVU15A
2014-10-01$77.89Not available in this settingRVU14D
2014-07-01$77.89Not available in this settingRVU14C
2014-04-01$77.89Not available in this settingRVU14B
2014-01-01$77.89Not available in this settingRVU14A
2013-10-01$80.87Not available in this settingRVU13D
2013-07-01$80.87Not available in this settingRVU13C
2013-04-01$80.87Not available in this settingRVU13B
2013-01-01$80.87Not available in this settingRVU13AR

Price 95870 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

95870 billing questions

When should I report 95870 instead of 95860?

Use 95870 for a limited needle examination of muscles in one extremity or axial muscles. Use 95860 when the documented examination is a broader study of one extremity.

How does 95870 differ from 95869?

95869 is specific to thoracic paraspinal muscles. 95870 describes a limited study in an extremity or other axial muscles.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 reports the interpretation, and modifier TC reports the equipment and staff portion. Without either modifier, the claim represents the global service.

What documentation supports a limited study?

Document the clinical question, the muscles sampled, the body region, and the examination findings. The record should support that the service was limited rather than a broader extremity examination.

How is 95870 distinguished from a limited EMG performed with nerve conduction studies?

95885 describes a limited needle EMG performed with nerve conduction studies. Select the code that matches the documented service and its relationship to the nerve conduction testing.

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 95870PPRRVU2026_Oct_nonQPP.csv, line 12,603 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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