$100.42–$105.33
95865 is specific to laryngeal muscles. Use 95867 for a unilateral needle examination of other cranial nerve-innervated muscles.
On this page
CMS RVU26D · Effective 2026-10-01
95865 Laryngeal EMG Medicare reimbursement rates in Michigan
Needle laryngeal EMG samples electrical activity in laryngeal muscles to assess suspected nerve or muscle dysfunction affecting voice or vocal-fold movement. Compare 95865 office and facility rates across CMS payment localities in Michigan.
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 95865 in Michigan?
Michigan 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
$145.30–$151.98
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 95865: Laryngeal needle electromyography
Needle laryngeal EMG samples electrical activity in laryngeal muscles to assess suspected nerve or muscle dysfunction affecting voice or vocal-fold movement.
A needle electrode records electrical activity in laryngeal muscles at rest and during task activation. Physicians use the study to assess suspected laryngeal nerve or muscle dysfunction, including vocal-fold weakness or immobility and certain cases of unexplained dysphonia. It is typically performed by an otolaryngologist with laryngology expertise or a physician experienced in electrodiagnostic testing, often in an outpatient setting or a hospital clinic.
Report 95865 for the laryngeal needle examination, rather than an extremity or other-site EMG code. The record should identify the clinical indication, muscles examined, findings, and physician interpretation. CMS prices this code as bilateral, so modifier 50 does not increase payment. For split professional and technical billing, modifier 26 identifies the interpretation and modifier TC identifies the equipment and staff; billing without either modifier represents the global service.
CMS billing rules for 95865
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU1.53 · 33%
- Practice expense (office) RVU2.99 · 65%
- Malpractice RVU0.08 · 2%
1.5K
Medicare services in 2024 · #2647 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.
95865 compared with similar codes
Office rates for Michigan, from the same CMS release.
$121.79–$127.53
95868 covers bilateral cranial nerve muscle examination outside the larynx; 95865 is the laryngeal-specific study and is already priced as bilateral.
$80.24–$84.62
95870 is for a limited needle examination of muscles without a more specific site code. Select 95865 when the study targets laryngeal muscles.
Compare 95865 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
Detroit →
Office / nonfacility
$151.98
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$145.30
Facility
Unavailable
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95865 billing questions
When should 95865 be used instead of a cranial nerve muscle EMG code?
Use 95865 when the needle examination evaluates laryngeal muscles. Codes 95867 and 95868 describe needle EMG of cranial nerve-innervated muscles, not a laryngeal study.
Does CMS pay more when modifier 50 is added?
No. CMS prices 95865 as bilateral, and modifier 50 does not increase payment.
How are the professional and technical portions reported?
Use modifier 26 for the professional interpretation and modifier TC for the technical portion. Without either modifier, the claim represents the global service.
What documentation supports reporting 95865?
Document the reason for the study, the laryngeal muscles examined, the observed electrical findings, and the physician's interpretation.
Is 95865 the same as a limited needle EMG?
No. 95865 identifies a laryngeal study; 95870 describes a limited needle examination of muscles outside this laryngeal-specific code.
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.
12,58595864,,Needle emg 4 extremities,A,,1.94,5.17,,5.17,NA,0.09,7.20,7.20,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,58695864,26,Needle emg 4 extremities,A,,1.94,1.12,,1.12,,0.08,3.14,3.14,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,58795864,TC,Needle emg 4 extremities,A,,0.00,4.05,,4.05,NA,0.01,4.06,4.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,58895865,,Needle emg larynx,A,,1.53,2.99,,2.99,NA,0.08,4.60,4.60,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,58995865,26,Needle emg larynx,A,,1.53,0.89,,0.89,,0.07,2.49,2.49,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,59095865,TC,Needle emg larynx,A,,0.00,2.10,,2.10,NA,0.01,2.11,2.11,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,59195866,,Needle emg hemidiaphragm,A,,1.22,2.81,,2.81,NA,0.05,4.08,4.08,1,XXX,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00