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CMS RVU26D · Effective 2026-10-01

95872 in El Centro

Office / nonfacility

$225.74

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 testing

About 95872: Single-fiber needle electromyography

Single-fiber needle EMG evaluates neuromuscular transmission and is reported when a specialized quantitative study is performed for suspected disorders such as myasthenia gravis.

Single-fiber needle EMG uses a specialized electrode and recording technique to assess variability in transmission between motor nerve and muscle fibers. Neurologists and physiatrists commonly perform it when a neuromuscular-junction disorder is suspected, including in an evaluation for myasthenia gravis. The examiner studies selected muscles; the service is distinguished by its technique, not by the number of extremities examined. It is performed in outpatient electrodiagnostic laboratories and hospital settings.

Report 95872 for the specialized single-fiber study, not for a conventional needle examination merely because a needle electrode is used. Documentation should identify the muscles examined, the single-fiber method and findings, and the clinical reason for testing. If routine needle EMG or nerve-conduction testing is also performed, document the distinct services and their findings. CMS recognizes professional and technical components: use modifier 26 for interpretation, TC for equipment and staff, or no component modifier for the global service.

CMS billing rules for 95872

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 RVU2.81 · 44%
  • Practice expense (office) RVU3.48 · 54%
  • Malpractice RVU0.16 · 2%

1.5K

Medicare services in 2024 · #2678 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.

95872 compared with similar codes

Office rates for El Centro, from the same CMS release.

95860

Needle EMG

One extremity

$127.65

Use 95872 for the specialized single-fiber examination of neuromuscular transmission. Use 95860 for conventional needle EMG when the examination covers one extremity.

95870

Needle EMG

Limited muscle study

$93.31

95870 describes a limited conventional needle EMG. It is not selected simply because only a small area is examined; 95872 is distinguished by the single-fiber technique.

95885

Needle EMG

Limited, with nerve conduction

$69.57

95885 is limited conventional muscle testing performed with nerve-conduction testing. Choose 95872 when the documented muscle study uses the single-fiber method.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 95872 is $226.29—$0.55 higher than the $225.74 rate in El Centro. Both use the same code, release and participation basis.

95872 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $225.74

  2. $0.55 higher than El Centro

  3. Chico

    $225.71

    $0.03 lower than El Centro

  4. Fresno

    $225.71

    $0.03 lower than El Centro

  5. $0.03 lower than El Centro

  6. $13.02 higher than El Centro

  7. Madera

    $225.71

    $0.03 lower than El Centro

Other payment areas listed in California 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, 95872 ranges from $196.45 in Arkansas to $274.66 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
  • Merced

    California · 95872

    Office

    $225.71

    Facility

    Unavailable

    $0.03 lower than El Centro for the office setting.

  • Modesto

    California · 95872

    Office

    $225.71

    Facility

    Unavailable

    $0.03 lower than El Centro for the office setting.

  • Napa

    California · 95872

    Office

    $255.68

    Facility

    Unavailable

    $29.94 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95872

    Office

    $237.20

    Facility

    Unavailable

    $11.46 higher than El Centro for the office setting.

  • Redding

    California · 95872

    Office

    $225.71

    Facility

    Unavailable

    $0.03 lower than El Centro for the office setting.

  • Rest Of California

    California · 95872

    Office

    $225.71

    Facility

    Unavailable

    $0.03 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95872

    Office

    $227.50

    Facility

    Unavailable

    $1.76 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95872

    Office

    $235.28

    Facility

    Unavailable

    $9.54 higher than El Centro for the office setting.

  • Salinas

    California · 95872

    Office

    $234.35

    Facility

    Unavailable

    $8.61 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95872

    Office

    $238.59

    Facility

    Unavailable

    $12.85 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95872

    Office

    $269.12

    Facility

    Unavailable

    $43.38 higher than El Centro for the office setting.

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

    California · 95872

    Office

    $268.94

    Facility

    Unavailable

    $43.20 higher than El Centro for the office setting.

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

    California · 95872

    Office

    $274.66

    Facility

    Unavailable

    $48.92 higher than El Centro for the office setting.

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

    California · 95872

    Office

    $273.91

    Facility

    Unavailable

    $48.17 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95872

    Office

    $230.71

    Facility

    Unavailable

    $4.97 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 95872

    Office

    $239.92

    Facility

    Unavailable

    $14.18 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 95872

    Office

    $234.88

    Facility

    Unavailable

    $9.14 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 95872

    Office

    $242.27

    Facility

    Unavailable

    $16.53 higher than El Centro for the office setting.

  • Stockton

    California · 95872

    Office

    $225.71

    Facility

    Unavailable

    $0.03 lower than El Centro for the office setting.

  • Vallejo

    California · 95872

    Office

    $255.42

    Facility

    Unavailable

    $29.68 higher than El Centro for the office setting.

  • Visalia

    California · 95872

    Office

    $225.71

    Facility

    Unavailable

    $0.03 lower than El Centro for the office setting.

  • Yuba City

    California · 95872

    Office

    $225.71

    Facility

    Unavailable

    $0.03 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 95872

    Office

    $241.80

    Facility

    Unavailable

    $16.06 higher than El Centro for the office setting.

  • Miami

    Florida · 95872

    Office

    $228.37

    Facility

    Unavailable

    $2.63 higher than El Centro for the office setting.

  • Chicago

    Illinois · 95872

    Office

    $223.59

    Facility

    Unavailable

    $2.15 lower than El Centro for the office setting.

  • Manhattan

    New York · 95872

    Office

    $243.40

    Facility

    Unavailable

    $17.66 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 95872

    Office

    $267.52

    Facility

    Unavailable

    $41.78 higher than El Centro for the office setting.

  • Alabama

    Alabama · 95872

    Office

    $198.59

    Facility

    Unavailable

    $27.15 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 95872

    Office

    $196.45

    Facility

    Unavailable

    $29.29 lower than El Centro for the office setting.

  • Arizona

    Arizona · 95872

    Office

    $211.06

    Facility

    Unavailable

    $14.68 lower than El Centro for the office setting.

  • Colorado

    Colorado · 95872

    Office

    $222.83

    Facility

    Unavailable

    $2.91 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 95872

    Office

    $227.39

    Facility

    Unavailable

    $1.65 higher than El Centro for the office setting.

  • Delaware

    Delaware · 95872

    Office

    $213.97

    Facility

    Unavailable

    $11.77 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 95872

    Office

    $221.26

    Facility

    Unavailable

    $4.48 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 95872

    Office

    $213.01

    Facility

    Unavailable

    $12.73 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 95872

    Office

    $218.65

    Facility

    Unavailable

    $7.09 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 95872

    Office

    $203.91

    Facility

    Unavailable

    $21.83 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 95872

    Office

    $229.11

    Facility

    Unavailable

    $3.37 higher than El Centro for the office setting.

  • Iowa

    Iowa · 95872

    Office

    $202.33

    Facility

    Unavailable

    $23.41 lower than El Centro for the office setting.

  • Idaho

    Idaho · 95872

    Office

    $203.32

    Facility

    Unavailable

    $22.42 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 95872

    Office

    $211.56

    Facility

    Unavailable

    $14.18 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 95872

    Office

    $208.33

    Facility

    Unavailable

    $17.41 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 95872

    Office

    $223.36

    Facility

    Unavailable

    $2.38 lower than El Centro for the office setting.

  • Indiana

    Indiana · 95872

    Office

    $204.20

    Facility

    Unavailable

    $21.54 lower than El Centro for the office setting.

  • Kansas

    Kansas · 95872

    Office

    $201.63

    Facility

    Unavailable

    $24.11 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 95872

    Office

    $202.08

    Facility

    Unavailable

    $23.66 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 95872

    Office

    $209.30

    Facility

    Unavailable

    $16.44 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 95872

    Office

    $201.84

    Facility

    Unavailable

    $23.90 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 95872

    Office

    $241.25

    Facility

    Unavailable

    $15.51 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95872

    Office

    $222.01

    Facility

    Unavailable

    $3.73 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95872

    Office

    $226.69

    Facility

    Unavailable

    $0.95 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 95872

    Office

    $217.33

    Facility

    Unavailable

    $8.41 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 95872

    Office

    $204.12

    Facility

    Unavailable

    $21.62 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 95872

    Office

    $212.42

    Facility

    Unavailable

    $13.32 lower than El Centro for the office setting.

  • Detroit

    Michigan · 95872

    Office

    $215.03

    Facility

    Unavailable

    $10.71 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 95872

    Office

    $206.01

    Facility

    Unavailable

    $19.73 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 95872

    Office

    $215.04

    Facility

    Unavailable

    $10.70 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 95872

    Office

    $208.22

    Facility

    Unavailable

    $17.52 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 95872

    Office

    $209.87

    Facility

    Unavailable

    $15.87 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 95872

    Office

    $199.26

    Facility

    Unavailable

    $26.48 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 95872

    Office

    $197.88

    Facility

    Unavailable

    $27.86 lower than El Centro for the office setting.

  • Montana**

    Montana · 95872

    Office

    $215.43

    Facility

    Unavailable

    $10.31 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 95872

    Office

    $205.72

    Facility

    Unavailable

    $20.02 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 95872

    Office

    $212.26

    Facility

    Unavailable

    $13.48 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 95872

    Office

    $203.16

    Facility

    Unavailable

    $22.58 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 95872

    Office

    $219.53

    Facility

    Unavailable

    $6.21 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 95872

    Office

    $240.31

    Facility

    Unavailable

    $14.57 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 95872

    Office

    $230.40

    Facility

    Unavailable

    $4.66 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 95872

    Office

    $206.86

    Facility

    Unavailable

    $18.88 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 95872

    Office

    $214.66

    Facility

    Unavailable

    $11.08 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95872

    Office

    $247.99

    Facility

    Unavailable

    $22.25 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95872

    Office

    $231.82

    Facility

    Unavailable

    $6.08 higher than El Centro for the office setting.

  • Queens

    New York · 95872

    Office

    $244.96

    Facility

    Unavailable

    $19.22 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 95872

    Office

    $208.04

    Facility

    Unavailable

    $17.70 lower than El Centro for the office setting.

  • Ohio

    Ohio · 95872

    Office

    $205.37

    Facility

    Unavailable

    $20.37 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 95872

    Office

    $201.81

    Facility

    Unavailable

    $23.93 lower than El Centro for the office setting.

  • Portland

    Oregon · 95872

    Office

    $228.47

    Facility

    Unavailable

    $2.73 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 95872

    Office

    $213.38

    Facility

    Unavailable

    $12.36 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95872

    Office

    $222.92

    Facility

    Unavailable

    $2.82 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95872

    Office

    $205.61

    Facility

    Unavailable

    $20.13 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 95872

    Office

    $216.63

    Facility

    Unavailable

    $9.11 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 95872

    Office

    $220.48

    Facility

    Unavailable

    $5.26 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 95872

    Office

    $205.80

    Facility

    Unavailable

    $19.94 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 95872

    Office

    $211.89

    Facility

    Unavailable

    $13.85 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 95872

    Office

    $202.38

    Facility

    Unavailable

    $23.36 lower than El Centro for the office setting.

  • Austin

    Texas · 95872

    Office

    $221.76

    Facility

    Unavailable

    $3.98 lower than El Centro for the office setting.

  • Beaumont

    Texas · 95872

    Office

    $204.60

    Facility

    Unavailable

    $21.14 lower than El Centro for the office setting.

  • Brazoria

    Texas · 95872

    Office

    $213.96

    Facility

    Unavailable

    $11.78 lower than El Centro for the office setting.

  • Dallas

    Texas · 95872

    Office

    $215.06

    Facility

    Unavailable

    $10.68 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 95872

    Office

    $213.96

    Facility

    Unavailable

    $11.78 lower than El Centro for the office setting.

  • Galveston

    Texas · 95872

    Office

    $214.45

    Facility

    Unavailable

    $11.29 lower than El Centro for the office setting.

  • Houston

    Texas · 95872

    Office

    $217.38

    Facility

    Unavailable

    $8.36 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 95872

    Office

    $208.99

    Facility

    Unavailable

    $16.75 lower than El Centro for the office setting.

  • Utah

    Utah · 95872

    Office

    $207.92

    Facility

    Unavailable

    $17.82 lower than El Centro for the office setting.

  • Virginia

    Virginia · 95872

    Office

    $211.89

    Facility

    Unavailable

    $13.85 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95872

    Office

    $216.63

    Facility

    Unavailable

    $9.11 lower than El Centro for the office setting.

  • Vermont

    Vermont · 95872

    Office

    $211.63

    Facility

    Unavailable

    $14.11 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 95872

    Office

    $221.54

    Facility

    Unavailable

    $4.20 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 95872

    Office

    $245.54

    Facility

    Unavailable

    $19.80 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 95872

    Office

    $206.86

    Facility

    Unavailable

    $18.88 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 95872

    Office

    $202.51

    Facility

    Unavailable

    $23.23 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 95872

    Office

    $214.05

    Facility

    Unavailable

    $11.69 lower than El Centro for the office setting.

See how rates vary across the country

95872 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$196.45

$267.52

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$267.521
AL$198.591
AR$196.451
AZ$211.061
CA$225.71–$274.6629
CO$222.831
CT$227.391
DC$241.801
DE$213.971
FL$213.01–$228.373
GA$203.91–$218.652
GU$229.111
HI$229.111
IA$202.331
ID$203.321
IL$208.33–$223.594
IN$204.201
KS$201.631
KY$202.081
LA$201.84–$209.302
MA$222.01–$241.252
MD$217.33–$241.803
ME$204.12–$212.422
MI$206.01–$215.032
MN$215.041
MO$199.26–$209.873
MS$197.881
MT$215.431
NC$205.721
ND$212.261
NE$203.161
NH$219.531
NJ$230.40–$240.312
NM$206.861
NV$214.661
NY$208.04–$247.995
OH$205.371
OK$201.811
OR$213.38–$228.472
PA$205.61–$222.922
PR$216.631
RI$220.481
SC$205.801
SD$211.891
TN$202.381
TX$204.60–$221.768
UT$207.921
VA$211.89–$241.802
VI$216.631
VT$211.631
WA$221.54–$245.542
WI$206.861
WV$202.511
WY$214.051

Explore 95872 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 95872 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$248.31

$225.74 × 110% = $248.31

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.

Compare your contract offer →

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 95872 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

12,606

Code
95872
Physician work
2.81
Practice expense
3.48
Malpractice
0.16

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 95872 in El Centro
ComponentRVULocality factorAdjusted
Physician work2.81× 1.0172.8578
Practice expense3.48× 1.0963.8141
Malpractice0.16× 0.5410.0866
Total RVUs6.7584
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$225.74

Open 95872 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.811.017
Practice expense3.481.096
Malpractice0.160.541

(2.81 × 1.017 + 3.48 × 1.096 + 0.16 × 0.541) × $33.4009 = $225.74

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

95872 · Office / nonfacility

$225.74

Effective 2026-10-01

The base rate is $42.23 higher than on 2025-10-01, moving from $183.51 to $225.74 (23.0%).

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

    $183.51changed to$225.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.88 changed to 2.81
    • Practice expense RVU 2.43 changed to 3.48
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $183.51

    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$225.74Not available in this settingRVU26D
2026-07-01$225.74Not available in this settingRVU26C
2026-04-01$225.74Not available in this settingRVU26B
2026-01-01$225.74Not available in this settingRVU26A
2025-10-01$183.51Not available in this settingRVU25D
2025-07-01$183.51Not available in this settingRVU25C
2025-04-01$183.51Not available in this settingRVU25B
2025-01-01$183.51Not available in this settingRVU25A

95872 billing questions

How does 95872 differ from routine needle EMG codes such as 95860 or 95870?

95872 identifies the specialized single-fiber recording technique used to assess neuromuscular transmission. Codes 95860 and 95870 describe conventional needle EMG based on the examination’s extent.

Can 95872 be reported with routine needle EMG or nerve-conduction testing?

It may be reported alongside other electrodiagnostic services when those services are separately performed and documented. The record should support the single-fiber study as distinct from the routine needle examination or nerve-conduction testing.

Which modifiers identify the components?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Report without a component modifier for the global service.

What documentation supports reporting 95872?

Document the clinical indication, muscles examined, use of the single-fiber technique, and study findings. The record should make clear why this specialized examination was performed.

Is the number of muscles or extremities the basis for choosing 95872?

No. The defining feature is the single-fiber method, rather than the extremity count used to distinguish conventional needle EMG codes.

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 95872PPRRVU2026_Oct_nonQPP.csv, line 12,606 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)