Billing code 95875: Limb exercise testMedicare rate & RVUs in Florida
Electrodiagnostic limb exercise testing records muscle responses to exertion and is reported when evaluating suspected exercise-related weakness or abnormal muscle excitability.
Medicare pays $125.42–$134.89 for 95875 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 95875 covers
This electrodiagnostic study records how a limb muscle responds to a controlled exercise protocol, using electrical measurements around exertion to identify abnormal response patterns. Neurologists and physical medicine and rehabilitation physicians typically perform it in an electrodiagnostic laboratory when evaluating episodic or exertional weakness, including suspected periodic paralysis or other muscle excitability disorders. The test differs from measuring joint range of motion and from needle sampling of muscle.
Report 95875 when the limb exercise protocol and its electrodiagnostic measurements are performed. Documentation should identify the limb tested, the protocol, the recorded responses, and the interpretation. The CMS fee schedule recognizes a professional component for interpretation (modifier 26) and a technical component for equipment and staff (modifier TC); a claim without either modifier represents the global service. Select the component that matches the work furnished and billed, and connect the findings to the suspected neuromuscular condition rather than documenting exercise alone.
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 95875 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$125.42 to $134.89
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $131.13 | Unavailable |
| Miami | $134.89 | Unavailable |
| Rest Of Florida | $125.42 | Unavailable |
How the 95875 rate is calculated
Each of 95875’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 · 95875
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.07Practice expense 2.73Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95875
The CMS indicators that decide how 95875 is paid alongside other services.
CMS payment indicators · 95875
Limb exercise test
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| 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
95875 without 26 · national office
$128.59
Limb exercise test
95875-26 · Professional component
$59.79
Pays only the interpretation and report.
95875 compared with similar codes
Compare codes
95875 vs 95860 vs 95857 vs 95851: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95860Needle EMG
- 95860 is needle EMG sampling of one extremity. Choose 95875 for limb exercise testing with electrodiagnostic measurements.
- 95857Cholinesterase challenge
- 95857 reports a cholinesterase challenge, a pharmacologic test. 95875 reports electrical muscle-response measurements around limb exercise.
- 95851Range of motion
- 95851 measures joint range of motion. It does not describe electrical measurement of muscle response during an exercise protocol.
95875 billing questions
How is 95875 different from needle EMG?
95875 reports electrical measurement of muscle response around a limb exercise protocol. Needle EMG codes report needle sampling of muscle, with code selection based on the muscles and extremities examined.
When should 95875 be considered instead of a range-of-motion code?
Use 95875 for an exercise protocol with electrodiagnostic measurements of muscle response. Range-of-motion codes describe joint movement measurements, not electrical muscle testing.
Can the professional and technical components be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff component. Without either modifier, the claim represents the global service.
What should the record show?
Document the limb tested, the exercise protocol, the electrical responses recorded, and the interpretation linking the findings to the clinical evaluation.
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
Show the CMS file lines behind this rate
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