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CMS RVU26D · Effective 2026-10-01

95874 in Austin

Office / nonfacility

$84.43

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Electrodiagnostic medicine

About 95874: Needle EMG guidance for chemodenervation

Reports needle EMG used to guide muscle selection or needle placement during chemodenervation, such as botulinum toxin injection for focal spasticity or dystonia.

This service uses needle electromyography to help guide chemodenervation injections into selected muscles. A neurologist or physiatrist may use it during botulinum toxin treatment for conditions such as focal spasticity or dystonia, where identifying or confirming activity in the target muscle helps direct the injection. The guidance is performed as part of the injection encounter, rather than as a standalone diagnostic needle EMG examination.

Report 95874 only with the applicable primary chemodenervation procedure; document the muscles treated and the use of needle EMG to guide the injection. CMS classifies it as an add-on code paid within the primary procedure’s global period. The service has separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and no modifier represents the global service. The injection itself is reported with its appropriate primary procedure code.

CMS billing rules for 95874

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU0.36 · 15%
  • Practice expense (office) RVU2.04 · 85%
  • Malpractice RVU0.01 · 0%

99K

Medicare services in 2024 · #563 by national volume

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.

95874 compared with similar codes

Office rates for Austin, from the same CMS release.

95873

Stimulation guidance

Chemodenervation guidance

$79.84

Both codes describe guidance during chemodenervation, but 95873 uses electrical stimulation while 95874 uses needle EMG.

95860

Needle EMG

One extremity

$124.47

Code 95860 reports diagnostic needle EMG testing of one extremity. Code 95874 reports needle EMG used to guide a chemodenervation injection.

64615

Migraine chemodenervation

Bilateral head and neck

$159.16

Code 64615 reports the primary chemodenervation service for chronic migraine. Code 95874 is an add-on for needle EMG guidance when that guidance is performed.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 95874 is $74.34—$10.09 lower than the $84.43 rate in Austin. Both use the same code, release and participation basis.

95874 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $84.43

  2. Beaumont

    $74.34

    $10.09 lower than Austin

  3. Brazoria

    $79.91

    $4.52 lower than Austin

  4. Dallas

    $80.28

    $4.15 lower than Austin

  5. Fort Worth

    $79.61

    $4.82 lower than Austin

  6. Galveston

    $80.06

    $4.37 lower than Austin

  7. Houston

    $80.24

    $4.19 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 95874 ranges from $70.73 in Arkansas to $111.78 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 95874

    Office

    $76.99

    Facility

    Unavailable

    $7.44 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 95874

    Office

    $93.35

    Facility

    Unavailable

    $8.92 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 95874

    Office

    $93.31

    Facility

    Unavailable

    $8.88 higher than Austin for the office setting.

  • Miami

    Florida · 95874

    Office

    $83.80

    Facility

    Unavailable

    $0.63 lower than Austin for the office setting.

  • Chicago

    Illinois · 95874

    Office

    $81.35

    Facility

    Unavailable

    $3.08 lower than Austin for the office setting.

  • Manhattan

    New York · 95874

    Office

    $92.50

    Facility

    Unavailable

    $8.07 higher than Austin for the office setting.

  • Alaska*

    Alaska · 95874

    Office

    $90.79

    Facility

    Unavailable

    $6.36 higher than Austin for the office setting.

  • Alabama

    Alabama · 95874

    Office

    $71.83

    Facility

    Unavailable

    $12.60 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 95874

    Office

    $70.73

    Facility

    Unavailable

    $13.70 lower than Austin for the office setting.

  • Arizona

    Arizona · 95874

    Office

    $78.34

    Facility

    Unavailable

    $6.09 lower than Austin for the office setting.

  • Bakersfield

    California · 95874

    Office

    $87.14

    Facility

    Unavailable

    $2.71 higher than Austin for the office setting.

  • Chico

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • El Centro

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Fresno

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Madera

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Merced

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Modesto

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Napa

    California · 95874

    Office

    $102.76

    Facility

    Unavailable

    $18.33 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95874

    Office

    $93.11

    Facility

    Unavailable

    $8.68 higher than Austin for the office setting.

  • Redding

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Rest Of California

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95874

    Office

    $87.20

    Facility

    Unavailable

    $2.77 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95874

    Office

    $91.88

    Facility

    Unavailable

    $7.45 higher than Austin for the office setting.

  • Salinas

    California · 95874

    Office

    $91.55

    Facility

    Unavailable

    $7.12 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95874

    Office

    $94.06

    Facility

    Unavailable

    $9.63 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95874

    Office

    $109.39

    Facility

    Unavailable

    $24.96 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 95874

    Office

    $109.38

    Facility

    Unavailable

    $24.95 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 95874

    Office

    $111.78

    Facility

    Unavailable

    $27.35 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 95874

    Office

    $111.73

    Facility

    Unavailable

    $27.30 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95874

    Office

    $90.02

    Facility

    Unavailable

    $5.59 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 95874

    Office

    $95.24

    Facility

    Unavailable

    $10.81 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 95874

    Office

    $91.99

    Facility

    Unavailable

    $7.56 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 95874

    Office

    $96.24

    Facility

    Unavailable

    $11.81 higher than Austin for the office setting.

  • Stockton

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Vallejo

    California · 95874

    Office

    $102.74

    Facility

    Unavailable

    $18.31 higher than Austin for the office setting.

  • Visalia

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Yuba City

    California · 95874

    Office

    $87.09

    Facility

    Unavailable

    $2.66 higher than Austin for the office setting.

  • Colorado

    Colorado · 95874

    Office

    $84.93

    Facility

    Unavailable

    $0.50 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 95874

    Office

    $86.05

    Facility

    Unavailable

    $1.62 higher than Austin for the office setting.

  • Delaware

    Delaware · 95874

    Office

    $79.70

    Facility

    Unavailable

    $4.73 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 95874

    Office

    $81.65

    Facility

    Unavailable

    $2.78 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 95874

    Office

    $77.67

    Facility

    Unavailable

    $6.76 lower than Austin for the office setting.

  • Atlanta

    Georgia · 95874

    Office

    $81.69

    Facility

    Unavailable

    $2.74 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 95874

    Office

    $73.20

    Facility

    Unavailable

    $11.23 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 95874

    Office

    $89.69

    Facility

    Unavailable

    $5.26 higher than Austin for the office setting.

  • Iowa

    Iowa · 95874

    Office

    $74.50

    Facility

    Unavailable

    $9.93 lower than Austin for the office setting.

  • Idaho

    Idaho · 95874

    Office

    $74.87

    Facility

    Unavailable

    $9.56 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 95874

    Office

    $75.38

    Facility

    Unavailable

    $9.05 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 95874

    Office

    $74.76

    Facility

    Unavailable

    $9.67 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 95874

    Office

    $82.68

    Facility

    Unavailable

    $1.75 lower than Austin for the office setting.

  • Indiana

    Indiana · 95874

    Office

    $75.35

    Facility

    Unavailable

    $9.08 lower than Austin for the office setting.

  • Kansas

    Kansas · 95874

    Office

    $73.79

    Facility

    Unavailable

    $10.64 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 95874

    Office

    $72.90

    Facility

    Unavailable

    $11.53 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 95874

    Office

    $76.52

    Facility

    Unavailable

    $7.91 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 95874

    Office

    $72.65

    Facility

    Unavailable

    $11.78 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 95874

    Office

    $94.17

    Facility

    Unavailable

    $9.74 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95874

    Office

    $84.23

    Facility

    Unavailable

    $0.20 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95874

    Office

    $85.74

    Facility

    Unavailable

    $1.31 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 95874

    Office

    $81.41

    Facility

    Unavailable

    $3.02 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 95874

    Office

    $74.92

    Facility

    Unavailable

    $9.51 lower than Austin for the office setting.

  • Southern Maine

    Maine · 95874

    Office

    $79.76

    Facility

    Unavailable

    $4.67 lower than Austin for the office setting.

  • Detroit

    Michigan · 95874

    Office

    $78.34

    Facility

    Unavailable

    $6.09 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 95874

    Office

    $74.61

    Facility

    Unavailable

    $9.82 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 95874

    Office

    $82.24

    Facility

    Unavailable

    $2.19 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 95874

    Office

    $76.33

    Facility

    Unavailable

    $8.10 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 95874

    Office

    $77.23

    Facility

    Unavailable

    $7.20 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 95874

    Office

    $71.08

    Facility

    Unavailable

    $13.35 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 95874

    Office

    $70.94

    Facility

    Unavailable

    $13.49 lower than Austin for the office setting.

  • Montana**

    Montana · 95874

    Office

    $80.50

    Facility

    Unavailable

    $3.93 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 95874

    Office

    $75.81

    Facility

    Unavailable

    $8.62 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 95874

    Office

    $80.30

    Facility

    Unavailable

    $4.13 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 95874

    Office

    $75.04

    Facility

    Unavailable

    $9.39 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 95874

    Office

    $83.25

    Facility

    Unavailable

    $1.18 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 95874

    Office

    $92.18

    Facility

    Unavailable

    $7.75 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 95874

    Office

    $87.28

    Facility

    Unavailable

    $2.85 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 95874

    Office

    $74.91

    Facility

    Unavailable

    $9.52 lower than Austin for the office setting.

  • Nevada**

    Nevada · 95874

    Office

    $80.51

    Facility

    Unavailable

    $3.92 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95874

    Office

    $94.43

    Facility

    Unavailable

    $10.00 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95874

    Office

    $87.58

    Facility

    Unavailable

    $3.15 higher than Austin for the office setting.

  • Queens

    New York · 95874

    Office

    $93.81

    Facility

    Unavailable

    $9.38 higher than Austin for the office setting.

  • Rest Of New York

    New York · 95874

    Office

    $76.99

    Facility

    Unavailable

    $7.44 lower than Austin for the office setting.

  • Ohio

    Ohio · 95874

    Office

    $74.57

    Facility

    Unavailable

    $9.86 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 95874

    Office

    $73.13

    Facility

    Unavailable

    $11.30 lower than Austin for the office setting.

  • Portland

    Oregon · 95874

    Office

    $88.17

    Facility

    Unavailable

    $3.74 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 95874

    Office

    $80.12

    Facility

    Unavailable

    $4.31 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95874

    Office

    $83.57

    Facility

    Unavailable

    $0.86 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95874

    Office

    $74.89

    Facility

    Unavailable

    $9.54 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 95874

    Office

    $81.24

    Facility

    Unavailable

    $3.19 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 95874

    Office

    $82.94

    Facility

    Unavailable

    $1.49 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 95874

    Office

    $75.27

    Facility

    Unavailable

    $9.16 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 95874

    Office

    $80.27

    Facility

    Unavailable

    $4.16 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 95874

    Office

    $74.14

    Facility

    Unavailable

    $10.29 lower than Austin for the office setting.

  • Utah

    Utah · 95874

    Office

    $76.37

    Facility

    Unavailable

    $8.06 lower than Austin for the office setting.

  • Virginia

    Virginia · 95874

    Office

    $79.24

    Facility

    Unavailable

    $5.19 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95874

    Office

    $81.24

    Facility

    Unavailable

    $3.19 lower than Austin for the office setting.

  • Vermont

    Vermont · 95874

    Office

    $79.65

    Facility

    Unavailable

    $4.78 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 95874

    Office

    $84.18

    Facility

    Unavailable

    $0.25 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 95874

    Office

    $96.50

    Facility

    Unavailable

    $12.07 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 95874

    Office

    $77.40

    Facility

    Unavailable

    $7.03 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 95874

    Office

    $71.71

    Facility

    Unavailable

    $12.72 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 95874

    Office

    $80.41

    Facility

    Unavailable

    $4.02 lower than Austin for the office setting.

See how rates vary across the country

95874 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$70.73

$99.44

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$90.791
AL$71.831
AR$70.731
AZ$78.341
CA$87.09–$111.7829
CO$84.931
CT$86.051
DC$93.311
DE$79.701
FL$77.67–$83.803
GA$73.20–$81.692
GU$89.691
HI$89.691
IA$74.501
ID$74.871
IL$74.76–$82.684
IN$75.351
KS$73.791
KY$72.901
LA$72.65–$76.522
MA$84.23–$94.172
MD$81.41–$93.313
ME$74.92–$79.762
MI$74.61–$78.342
MN$82.241
MO$71.08–$77.233
MS$70.941
MT$80.501
NC$75.811
ND$80.301
NE$75.041
NH$83.251
NJ$87.28–$92.182
NM$74.911
NV$80.511
NY$76.99–$94.435
OH$74.571
OK$73.131
OR$80.12–$88.172
PA$74.89–$83.572
PR$81.241
RI$82.941
SC$75.271
SD$80.271
TN$74.141
TX$74.34–$84.438
UT$76.371
VA$79.24–$93.312
VI$81.241
VT$79.651
WA$84.18–$96.502
WI$77.401
WV$71.711
WY$80.411

Explore 95874 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 95874 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$92.87

$84.43 × 110% = $92.87

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 95874 in Austin.

PPRRVU2026_Oct_nonQPP.csv

12,612

Code
95874
Physician work
0.36
Practice expense
2.04
Malpractice
0.01

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 95874 in Austin
ComponentRVULocality factorAdjusted
Physician work0.36× 1.0020.3607
Practice expense2.04× 1.0582.1583
Malpractice0.01× 0.8860.0089
Total RVUs2.5279
Conversion factor× 33.4009

Office / nonfacility rate, Austin$84.43

Open 95874 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.361.002
Practice expense2.041.058
Malpractice0.010.886

(0.36 × 1.002 + 2.04 × 1.058 + 0.01 × 0.886) × $33.4009 = $84.43

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

95874 · Office / nonfacility

$84.43

Effective 2026-10-01

The base rate is $10.59 higher than on 2025-10-01, moving from $73.84 to $84.43 (14.3%).

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

    $73.84changed to$84.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.37 changed to 0.36
    • Practice expense RVU 1.82 changed to 2.04
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $73.84

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$84.43Not available in this settingRVU26D
2026-07-01$84.43Not available in this settingRVU26C
2026-04-01$84.43Not available in this settingRVU26B
2026-01-01$84.43Not available in this settingRVU26A
2025-10-01$73.84Not available in this settingRVU25D
2025-07-01$73.84Not available in this settingRVU25C
2025-04-01$73.84Not available in this settingRVU25B
2025-01-01$73.84Not available in this settingRVU25A

95874 billing questions

When should 95874 be reported instead of 95873?

Use 95874 when needle EMG provides guidance during chemodenervation. Code 95873 represents guidance by electrical stimulation instead.

Can 95874 be billed by itself?

No. It is an add-on service and must be reported with the applicable primary chemodenervation procedure.

What documentation supports 95874?

Document the chemodenervation performed, the muscles treated, and that needle EMG was used to guide the injection. The record should support guidance rather than a separate diagnostic muscle examination.

Which modifiers identify the components?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical component, including equipment and staff. Reporting without either modifier represents the global service.

Is 95874 included in the primary procedure's global period?

Yes. CMS identifies 95874 as an add-on code paid within the 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 95874PPRRVU2026_Oct_nonQPP.csv, line 12,612 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet