$110.55–$121.39
95870 is for a limited examination in one extremity or axial muscles. 95860 describes a broader examination of one extremity.
On this page
CMS RVU26D · Effective 2026-10-01
95870 Needle EMG Medicare reimbursement rates in Georgia
Reports a focused needle EMG sampling muscles in one extremity or axial muscles when the examination is limited rather than a broader extremity study. Compare 95870 office and facility rates across CMS payment localities in Georgia.
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 95870 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$78.76–$87.92
2 of 2 localities have a supported rate.
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 95870: Limited needle EMG, one extremity or axial muscles
Reports a focused needle EMG sampling muscles in one extremity or axial muscles when the examination is limited rather than a broader extremity study.
A clinician inserts a fine needle electrode into selected muscles and evaluates their electrical activity at rest and during contraction. This limited examination may help assess a focused concern, such as localized weakness or suspected nerve-related muscle changes. Neurologists and physiatrists commonly perform needle EMG in an electrodiagnostic laboratory, outpatient clinic, or hospital setting. The muscles examined may be in one limb or in an axial area; the specific code for the service depends on the body region and scope of the examination.
Choose this code when the documented needle examination is limited, rather than a broader study of one or more extremities. The report should identify the muscles examined, the clinical question, and the findings supporting the interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and reporting without either modifier represents the global service. The professional and technical components are separately priced when billed with their respective modifiers.
CMS billing rules for 95870
- 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 · 14%
- Practice expense (office) RVU2.20 · 85%
- Malpractice RVU0.03 · 1%
47.3K
Medicare services in 2024 · #802 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.
95870 compared with similar codes
Office rates for Georgia, from the same CMS release.
$86.51–$96.74
Use 95869 for thoracic paraspinal muscles specifically; 95870 covers a limited extremity or other axial muscle study.
$58.83–$65.41
95885 describes a limited needle EMG performed with nerve conduction studies. Choose based on whether the documented EMG is reported in that testing context.
$92.41–$101.29
95886 is for a more extensive needle EMG performed with nerve conduction studies; 95870 describes a limited study.
Compare 95870 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$87.92
Facility
Unavailable
Rest Of Georgia →
Office / nonfacility
$78.76
Facility
Unavailable
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95870 billing questions
When should I report 95870 instead of 95860?
Use 95870 for a limited needle examination of muscles in one extremity or axial muscles. Use 95860 when the documented examination is a broader study of one extremity.
How does 95870 differ from 95869?
95869 is specific to thoracic paraspinal muscles. 95870 describes a limited study in an extremity or other axial muscles.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 reports the interpretation, and modifier TC reports the equipment and staff portion. Without either modifier, the claim represents the global service.
What documentation supports a limited study?
Document the clinical question, the muscles sampled, the body region, and the examination findings. The record should support that the service was limited rather than a broader extremity examination.
How is 95870 distinguished from a limited EMG performed with nerve conduction studies?
95885 describes a limited needle EMG performed with nerve conduction studies. Select the code that matches the documented service and its relationship to the nerve conduction testing.
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.
12,60095869,,Ndl emg thrc paraspinal musc,A,,0.36,2.46,,2.46,NA,0.03,2.85,2.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,60195869,26,Ndl emg thrc paraspinal musc,A,,0.36,0.21,,0.21,,0.02,0.59,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,60295869,TC,Ndl emg thrc paraspinal musc,A,,0.00,2.25,,2.25,NA,0.01,2.26,2.26,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,60395870,,Ndl emg lmtd std musc 1 xtr,A,,0.36,2.20,,2.20,NA,0.03,2.59,2.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,60495870,26,Ndl emg lmtd std musc 1 xtr,A,,0.36,0.21,,0.21,,0.02,0.59,0.59,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,60595870,TC,Ndl emg lmtd std musc 1 xtr,A,,0.00,1.99,,1.99,NA,0.01,2.00,2.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,60695872,,Ndl emg single fiber eltrd,A,,2.81,3.48,,3.48,NA,0.16,6.45,6.45,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00