$70.92–$75.46
Both codes describe guidance during chemodenervation, but 95873 uses electrical stimulation while 95874 uses needle EMG.
On this page
CMS RVU26D · Effective 2026-10-01
95874 Injection guidance Medicare reimbursement rates in Maine
Reports needle EMG used to guide muscle selection or needle placement during chemodenervation, such as botulinum toxin injection for focal spasticity or dystonia. Compare 95874 office and facility rates across CMS payment localities in Maine.
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 95874 in Maine?
Maine 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
$74.92–$79.76
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 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 Maine, from the same CMS release.
$112.02–$118.18
Code 95860 reports diagnostic needle EMG testing of one extremity. Code 95874 reports needle EMG used to guide a chemodenervation injection.
$143.06–$148.66
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.
Compare 95874 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
Rest Of Maine →
Office / nonfacility
$74.92
Facility
Unavailable
Southern Maine →
Office / nonfacility
$79.76
Facility
Unavailable
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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.
12,60995873,,Guide nerv destr elec stim,A,,0.36,1.91,,1.91,NA,0.01,2.28,2.28,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61095873,26,Guide nerv destr elec stim,A,,0.36,0.23,,0.23,,0.01,0.60,0.60,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61195873,TC,Guide nerv destr elec stim,A,,0.00,1.68,,1.68,NA,0.00,1.68,1.68,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,61295874,,Guide nerv destr needle emg,A,,0.36,2.04,,2.04,NA,0.01,2.41,2.41,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61395874,26,Guide nerv destr needle emg,A,,0.36,0.22,,0.22,,0.01,0.59,0.59,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61495874,TC,Guide nerv destr needle emg,A,,0.00,1.82,,1.82,NA,0.00,1.82,1.82,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,61595875,,Limb exercise test,A,,1.07,2.73,,2.73,NA,0.05,3.85,3.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00