$68.82
Both are per-extremity add-ons with nerve conduction. 95886 requires at least five muscles representing at least three nerves or four spinal levels; 95885 is for a limb exam that does not meet those criteria.
On this page
CMS RVU26D · Effective 2026-10-01
95886 Needle EMG add-on Medicare reimbursement rates in Connecticut
Add-on for a complete needle EMG of one limb, with related paraspinal muscles when sampled, performed on the same date as nerve conduction studies. Compare 95886 office and facility rates across CMS payment localities in Connecticut.
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.
What does Medicare pay for 95886 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$106.09
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Electrodiagnostic testing
About 95886: Complete needle EMG per extremity with nerve conduction
Add-on for a complete needle EMG of one limb, with related paraspinal muscles when sampled, performed on the same date as nerve conduction studies.
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.
CMS billing rules for 95886
- 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.
- Bilateral procedures
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU0.84 · 28%
- Practice expense (office) RVU2.12 · 71%
- Malpractice RVU0.03 · 1%
842.3K
Medicare services in 2024 · #160 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.
95886 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$93.79
95887 covers non-limb muscles, such as cranial nerve-supplied or thoracic paraspinal muscles, studied with nerve conduction. 95886 covers an arm or leg and its related paraspinals.
$171.97
95861 is a standalone two-limb needle EMG with no same-day nerve conduction study. When nerve conduction is performed, report per-limb units of 95885 or 95886 instead.
Compare 95886 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$106.09
Facility
Unavailable
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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 95886 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
12,621
- Code
- 95886
- Physician work
- 0.84
- Practice expense
- 2.12
- Malpractice
- 0.03
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.84 | × 1.020 | 0.8568 |
| Practice expense | 2.12 | × 1.077 | 2.2832 |
| Malpractice | 0.03 | × 1.210 | 0.0363 |
| Total RVUs | 3.1763 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$106.09
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.84 | 1.02 |
| Practice expense | 2.12 | 1.077 |
| Malpractice | 0.03 | 1.21 |
(0.84 × 1.02 + 2.12 × 1.077 + 0.03 × 1.21) × $33.4009 = $106.09
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.
95886 billing questions
When is 95886 used instead of 95885?
Use 95886 when at least five muscles are sampled in an extremity and they represent at least three nerves or four spinal levels. If the limb exam does not meet those criteria, report the limited-study add-on 95885.
Can 95886 be billed without a nerve conduction study?
No. It is an add-on reported with a nerve conduction code from 95907-95913 on the same date. Needle EMG done without nerve conduction is reported with the standalone codes 95860-95864 or 95870.
How are units reported when both legs are tested?
Report one unit for each extremity that meets the complete-study criteria, so a complete study of both legs is two units. Each side is paid separately at 100%.
Can 95885 and 95886 be reported together?
Yes, if they apply to different extremities. For example, one limb with a complete study and another limb with a limited study is billed as one unit of each.
Are paraspinal muscles billed separately?
Paraspinal muscles related to the tested limb are included in 95886. Thoracic paraspinal or other non-extremity muscles studied with nerve conduction go to 95887.
Which modifier applies when the hospital owns the equipment?
The interpreting physician bills the professional component with modifier 26. The entity furnishing the equipment and staff bills the technical component with modifier TC; a provider furnishing both components bills globally without a component modifier.
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.
12,61895885,,Musc tst done w/nerv tst lim,A,,0.34,1.58,,1.58,NA,0.01,1.93,1.93,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61995885,26,Musc tst done w/nerv tst lim,A,,0.34,0.20,,0.20,,0.01,0.55,0.55,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,62095885,TC,Musc tst done w/nerv tst lim,A,,0.00,1.38,,1.38,NA,0.00,1.38,1.38,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,62195886,,Musc test done w/n test comp,A,,0.84,2.12,,2.12,NA,0.03,2.99,2.99,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,62295886,26,Musc test done w/n test comp,A,,0.84,0.49,,0.49,,0.03,1.36,1.36,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,62395886,TC,Musc test done w/n test comp,A,,0.00,1.63,,1.63,NA,0.00,1.63,1.63,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,62495887,,Musc tst done w/n tst nonext,A,,0.69,1.92,,1.92,NA,0.03,2.64,2.64,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808