$151.92
Use 95860 for one extremity and 95861 for two. The distinction is the number of extremities covered, not the number of muscles tested.
On this page
CMS RVU26D · Effective 2026-10-01
95860 Needle EMG Medicare reimbursement rates in Nebraska
Reports a needle electromyography study of one arm or leg to evaluate suspected nerve or muscle dysfunction, with related paraspinal sampling when appropriate. Compare 95860 office and facility rates across CMS payment localities in Nebraska.
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 95860 in Nebraska?
Nebraska 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
$111.88
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 95860: Needle EMG, one extremity
Reports a needle electromyography study of one arm or leg to evaluate suspected nerve or muscle dysfunction, with related paraspinal sampling when appropriate.
A clinician inserts a small needle electrode into selected muscles and records their electrical activity at rest and during activation. Neurologists and physical medicine and rehabilitation physicians commonly perform and interpret this test in outpatient electrodiagnostic laboratories or hospital settings. It helps evaluate problems such as unexplained limb weakness, numbness, suspected nerve-root irritation, or focal nerve injury. The muscle selection follows the clinical question; related paraspinal muscles may also be examined.
Report this code for a study of one extremity. The number of muscles sampled does not change the extremity count; document the side, muscles tested, findings, and clinical reason for the study. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 or TC when billing only that component. Billing without a component modifier represents the global service.
CMS billing rules for 95860
- 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 RVU0.94 · 26%
- Practice expense (office) RVU2.59 · 72%
- Malpractice RVU0.05 · 1%
2.8K
Medicare services in 2024 · #2233 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.
95860 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$80.23
95870 is for a limited needle EMG examination. 95860 represents testing of one extremity.
$60.19
95885 is the limited EMG format used with nerve conduction testing; 95860 represents the one-extremity format outside that combined-study distinction.
$93.79
95886 is the complete EMG format used with nerve conduction testing. Choose it rather than 95860 when that combined-study format applies.
Compare 95860 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
Nebraska →
Office / nonfacility
$111.88
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 95860 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,576
- Code
- 95860
- Physician work
- 0.94
- Practice expense
- 2.59
- Malpractice
- 0.05
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.94 | × 1.000 | 0.9400 |
| Practice expense | 2.59 | × 0.923 | 2.3906 |
| Malpractice | 0.05 | × 0.378 | 0.0189 |
| Total RVUs | 3.3495 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$111.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.94 | 1 |
| Practice expense | 2.59 | 0.923 |
| Malpractice | 0.05 | 0.378 |
(0.94 × 1 + 2.59 × 0.923 + 0.05 × 0.378) × $33.4009 = $111.88
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.
95860 billing questions
How is this different from 95861?
95860 represents needle EMG of one extremity; 95861 represents testing of two extremities. Select by the extremity coverage, not by the number of muscles sampled.
When would 95870 be a better fit?
95870 describes a limited needle EMG study rather than the one-extremity study represented by 95860. Choose based on the documented scope of the muscle examination.
How does this differ from 95885 or 95886?
95885 and 95886 describe needle EMG performed with nerve conduction testing, with the choice depending on the extent of the EMG examination. 95860 represents the one-extremity study when that combined-study coding distinction is not the applicable format.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment-and-staff portion. Without either modifier, the claim represents the global service.
What should the report document?
Document the extremity examined, muscles sampled, relevant findings at rest and with activation, and the clinical reason for testing. The record should support why the selected muscles addressed the suspected nerve or muscle problem.
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.
12,57395851,,Range of motion measurements,A,,0.16,0.61,,0.03,,0.01,0.78,0.20,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57495852,,Range of motion measurements,A,,0.11,0.52,,0.03,,0.01,0.64,0.15,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57595857,,Cholinesterase challenge,A,,0.52,1.46,,0.15,,0.04,2.02,0.71,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57695860,,Needle emg 1 extremity,A,,0.94,2.59,,2.59,NA,0.05,3.58,3.58,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57795860,26,Needle emg 1 extremity,A,,0.94,0.56,,0.56,,0.04,1.54,1.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57895860,TC,Needle emg 1 extremity,A,,0.00,2.03,,2.03,NA,0.01,2.04,2.04,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,57995861,,Needle emg 2 extremities,A,,1.50,3.27,,3.27,NA,0.08,4.85,4.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068