CPT code 95886: Needle EMG add-on, complete study, each extremity2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $100.63 for 95886 in the office.

Check a contract rate as a % of Medicare · 95886 nationwide

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

What 95886 covers

This code covers a full needle electromyography exam of a single arm or leg, performed with a nerve conduction study at the same session. The electromyographer inserts a recording needle into a set of muscles, along with related paraspinal muscles when sampled, and records insertional activity, spontaneous activity, and motor unit recruitment. A complete study samples at least five muscles innervated by at least three nerves or representing at least four spinal levels. Typical uses are radiculopathy, plexopathy, peripheral neuropathy, and motor neuron disease workups. Neurologists and physiatrists perform it in offices, EMG labs, and hospital outpatient departments.

Report one unit per extremity tested, with a nerve conduction code from 95907-95913. CMS treats 95886 as an add-on paid within the primary procedure’s global period. Each side is paid separately at 100% when both legs or both arms are studied. The code has a professional component for interpretation, billed with modifier 26, and a technical component for equipment and staff, billed with modifier TC. Billing without a component modifier reports the global service. The report should list each muscle sampled, the nerves or root levels represented, and the findings supporting the complete-study threshold.

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 Puerto Rico compares for 95886

Across 109 of 109 payment localities, the office rate for 95886 runs from $89.40 in Arkansas to $133.79 in San Benito County, CA. Puerto Rico pays $100.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95886 rates by state

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

See 95886 in every payment locality

How the 95886 rate is calculated

Each of 95886’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.

Payment rules and modifiers for 95886

The CMS indicators that decide how 95886 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 95886

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

How 95886 has changed in Puerto Rico

Price 95886 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates