CPT code 95873: Stimulation guidance, chemodenervation guidance2026 Medicare rate & RVUs
Electrical stimulation helps guide muscle targeting during chemodenervation, such as botulinum toxin treatment for focal spasticity or dystonia.
Medicare pays $76.15 for 95873 nationally in the office. Local office rates run $67.00–$105.52.
Medicare rate · 95873
Stimulation guidance, chemodenervation guidance
- Work RVUs
- 0.36
- Total RVUs
- 2.28
- Global days
- ZZZ
National rate · 2026
$76.15
Office setting, before claim adjustments.
See every locality for 95873 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 95873 covers
Electrical stimulation guidance is used during chemodenervation to help identify or confirm the intended muscle or motor point while medication is delivered. Neurologists and physiatrists commonly use it when treating focal spasticity or dystonia with botulinum toxin, including in office-based procedures. The guidance supports target selection; it is not the chemodenervation injection itself.
Report 95873 only with the primary chemodenervation procedure; it is an add-on and is paid within that procedure’s global period. Documentation should identify the treated condition and muscles, the primary procedure, and the use of electrical stimulation for guidance. CMS identifies professional and technical components: modifier 26 represents the professional interpretation, modifier TC the technical service, and no 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 95873 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$67.00 to $105.52
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $68.03 | Unavailable |
| Alaska | $86.16 | Unavailable |
| Arizona | $74.13 | Unavailable |
| Arkansas | $67.00 | Unavailable |
| Atlanta, GA | $77.28 | Unavailable |
| Austin, TX | $79.84 | Unavailable |
| Bakersfield, CA | $82.38 | Unavailable |
| Baltimore area, MD | $81.08 | Unavailable |
| Beaumont, TX | $70.39 | Unavailable |
| Brazoria, TX | $75.60 | Unavailable |
| Chicago, IL | $76.99 | Unavailable |
| Chico, CA | $82.33 | Unavailable |
| Colorado | $80.31 | Unavailable |
| Connecticut | $81.38 | Unavailable |
| Dallas, TX | $75.96 | Unavailable |
| Delaware | $75.41 | Unavailable |
| Detroit, MI | $74.15 | Unavailable |
| East St. Louis, IL | $71.39 | Unavailable |
| El Centro, CA | $82.33 | Unavailable |
| Fort Lauderdale, FL | $77.25 | Unavailable |
| Fort Worth, TX | $75.33 | Unavailable |
| Fresno, CA | $82.33 | Unavailable |
| Galveston, TX | $75.75 | Unavailable |
| Hanford, CA | $82.33 | Unavailable |
| Hawaii, Guam, HI | $84.75 | Unavailable |
| Houston, TX | $75.93 | Unavailable |
| Idaho | $70.87 | Unavailable |
| Indiana | $71.33 | Unavailable |
| Iowa | $70.53 | Unavailable |
| Kansas | $69.86 | Unavailable |
| Kentucky | $69.04 | Unavailable |
| King County, WA | $91.18 | Unavailable |
| Los Angeles, CA | $88.21 | Unavailable |
| Madera, CA | $82.33 | Unavailable |
| Manhattan, NY | $87.45 | Unavailable |
| Marin County, CA | $103.27 | Unavailable |
| Merced, CA | $82.33 | Unavailable |
| Metropolitan Boston, MA | $88.99 | Unavailable |
| Metropolitan Kansas City, MO | $72.25 | Unavailable |
| Metropolitan Philadelphia, PA | $79.05 | Unavailable |
| Metropolitan St. Louis, MO | $73.09 | Unavailable |
| Miami, FL | $79.28 | Unavailable |
| Minnesota | $77.77 | Unavailable |
| Mississippi | $67.20 | Unavailable |
| Modesto, CA | $82.33 | Unavailable |
| Montana | $76.15 | Unavailable |
| Napa, CA | $97.03 | Unavailable |
| Nebraska | $71.03 | Unavailable |
| Nevada | $76.16 | Unavailable |
| New Hampshire | $78.73 | Unavailable |
| New Mexico | $70.93 | Unavailable |
| New Orleans, LA | $72.44 | Unavailable |
| North Carolina | $71.76 | Unavailable |
| North Dakota | $75.96 | Unavailable |
| Northern New Jersey | $87.14 | Unavailable |
| NYC suburbs and Long Island, NY | $89.27 | Unavailable |
| Ohio | $70.61 | Unavailable |
| Oklahoma | $69.25 | Unavailable |
| Oxnard, CA | $87.98 | Unavailable |
| Portland, OR | $83.34 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $82.83 | Unavailable |
| Puerto Rico | $76.85 | Unavailable |
| Queens, NY | $88.68 | Unavailable |
| Redding, CA | $82.33 | Unavailable |
| Rest of California | $82.33 | Unavailable |
| Rest of Florida | $73.52 | Unavailable |
| Rest of Georgia | $69.33 | Unavailable |
| Rest of Illinois | $70.79 | Unavailable |
| Rest of Louisiana | $68.80 | Unavailable |
| Rest of Maine | $70.92 | Unavailable |
| Rest of Maryland | $77.01 | Unavailable |
| Rest of Massachusetts | $79.66 | Unavailable |
| Rest of Michigan | $70.65 | Unavailable |
| Rest of Missouri | $67.34 | Unavailable |
| Rest of New Jersey | $82.54 | Unavailable |
| Rest of New York | $72.87 | Unavailable |
| Rest of Oregon | $75.80 | Unavailable |
| Rest of Pennsylvania | $70.90 | Unavailable |
| Rest of Texas | $72.87 | Unavailable |
| Rest of Washington | $79.61 | Unavailable |
| Rhode Island | $78.45 | Unavailable |
| Riverside, CA | $82.45 | Unavailable |
| Sacramento, CA | $86.83 | Unavailable |
| Salinas, CA | $86.52 | Unavailable |
| San Benito County, CA | $105.52 | Unavailable |
| San Diego, CA | $88.87 | Unavailable |
| San Francisco, CA | $103.26 | Unavailable |
| San Luis Obispo, CA | $85.07 | Unavailable |
| Santa Clara County, CA | $105.47 | Unavailable |
| Santa Cruz, CA | $89.97 | Unavailable |
| Santa Maria, CA | $86.93 | Unavailable |
| Santa Rosa, CA | $90.91 | Unavailable |
| South Carolina | $71.26 | Unavailable |
| South Dakota | $75.93 | Unavailable |
| Southern Maine, ME | $75.46 | Unavailable |
| Stockton, CA | $82.33 | Unavailable |
| Suburban Chicago, IL | $78.22 | Unavailable |
| Tennessee | $70.19 | Unavailable |
| Utah | $72.29 | Unavailable |
| Vallejo, CA | $97.02 | Unavailable |
| Vermont | $75.35 | Unavailable |
| Virgin Islands, VI | $76.85 | Unavailable |
| Virginia | $74.97 | Unavailable |
| Visalia, CA | $82.33 | Unavailable |
| Washington, DC area | $88.20 | Unavailable |
| West Virginia | $67.94 | Unavailable |
| Wisconsin | $73.24 | Unavailable |
| Wyoming | $76.07 | Unavailable |
| Yuba City, CA | $82.33 | Unavailable |
95873 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.
$67.00
$93.93
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 | $86.16 | 1 |
| AL | $68.03 | 1 |
| AR | $67.00 | 1 |
| AZ | $74.13 | 1 |
| CA | $82.33–$105.52 | 29 |
| CO | $80.31 | 1 |
| CT | $81.38 | 1 |
| DC | $88.20 | 1 |
| DE | $75.41 | 1 |
| FL | $73.52–$79.28 | 3 |
| GA | $69.33–$77.28 | 2 |
| GU | $84.75 | 1 |
| HI | $84.75 | 1 |
| IA | $70.53 | 1 |
| ID | $70.87 | 1 |
| IL | $70.79–$78.22 | 4 |
| IN | $71.33 | 1 |
| KS | $69.86 | 1 |
| KY | $69.04 | 1 |
| LA | $68.80–$72.44 | 2 |
| MA | $79.66–$88.99 | 2 |
| MD | $77.01–$88.20 | 3 |
| ME | $70.92–$75.46 | 2 |
| MI | $70.65–$74.15 | 2 |
| MN | $77.77 | 1 |
| MO | $67.34–$73.09 | 3 |
| MS | $67.20 | 1 |
| MT | $76.15 | 1 |
| NC | $71.76 | 1 |
| ND | $75.96 | 1 |
| NE | $71.03 | 1 |
| NH | $78.73 | 1 |
| NJ | $82.54–$87.14 | 2 |
| NM | $70.93 | 1 |
| NV | $76.16 | 1 |
| NY | $72.87–$89.27 | 5 |
| OH | $70.61 | 1 |
| OK | $69.25 | 1 |
| OR | $75.80–$83.34 | 2 |
| PA | $70.90–$79.05 | 2 |
| PR | $76.85 | 1 |
| RI | $78.45 | 1 |
| SC | $71.26 | 1 |
| SD | $75.93 | 1 |
| TN | $70.19 | 1 |
| TX | $70.39–$79.84 | 8 |
| UT | $72.29 | 1 |
| VA | $74.97–$88.20 | 2 |
| VI | $76.85 | 1 |
| VT | $75.35 | 1 |
| WA | $79.61–$91.18 | 2 |
| WI | $73.24 | 1 |
| WV | $67.94 | 1 |
| WY | $76.07 | 1 |
How the 95873 rate is calculated
Each of 95873’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 · 95873
RVUs × geographic indexes × conversion factor
Work0.36
0.36 RVUs× 1.000 GPCI
Practice expense1.91
1.91 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
2.2800
Conversion factor
$33.4009
Medicare rate
$76.15
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95873
The CMS indicators that decide how 95873 is paid alongside other services.
CMS payment indicators · 95873
Stimulation guidance, chemodenervation guidance
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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
95873 without 26 · national office
$76.15
Stimulation guidance, chemodenervation guidance
95873-26 · Professional component
$20.04
Pays only the interpretation and report.
95873 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 95874Injection guidanceNeedle EMG guidance
- Use 95873 for electrical stimulation guidance during chemodenervation; use 95874 when needle EMG provides the guidance.
- 64612Facial chemodenervationFacial nerve muscles, unilateral
- 64612 reports the chemodenervation treatment of specified cranial-nerve-supplied muscles; 95873 reports electrical stimulation guidance as an add-on.
- 64616Neck chemodenervationNeck muscles, excluding larynx
- 64616 reports chemodenervation of neck muscles. 95873 is the separate add-on for electrical stimulation guidance when used with a primary treatment.
95873 billing questions
Can 95873 be reported by itself?
No. It is an add-on for electrical stimulation guidance and must be billed with the primary chemodenervation procedure.
How is 95873 different from 95874?
95873 describes electrical stimulation guidance. 95874 describes needle EMG guidance during chemodenervation.
What documentation supports 95873?
Document the chemodenervation service, the muscles treated, and that electrical stimulation was used to guide targeting.
Can modifier 26 or TC be used?
CMS identifies a professional component reported with modifier 26 and a technical component reported with modifier TC. Without either modifier, the claim represents the global service.
Is the guidance included in the primary procedure?
95873 is separately reported as an add-on when electrical stimulation guidance is performed with the primary chemodenervation service. Payment is within that primary procedure’s global period.
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
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