$206.51
Choose 95863 when the needle examination covers three extremities; choose 95864 when it covers all four.
On this page
CMS RVU26D · Effective 2026-10-01
95864 Needle EMG Medicare reimbursement rates in Nebraska
Reports needle electromyography sampling across all four extremities to evaluate suspected peripheral nerve, nerve root, motor neuron, or muscle disorders. Compare 95864 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 95864 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
$225.32
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 95864: Needle EMG of four extremities
Reports needle electromyography sampling across all four extremities to evaluate suspected peripheral nerve, nerve root, motor neuron, or muscle disorders.
A clinician inserts a fine needle electrode into selected muscles in all four limbs and records electrical activity at rest and during muscle contraction. The findings help evaluate conditions such as radiculopathy, peripheral neuropathy, motor neuron disease, or myopathy. Neurologists and physical medicine and rehabilitation physicians commonly perform or interpret the study in outpatient electrodiagnostic laboratories and hospital settings; relevant paraspinal muscles may also be sampled when clinically indicated.
Choose this code when the needle examination covers all four extremities, rather than fewer limbs or a limited muscle sample. The report should identify the limbs and muscles examined, relevant findings, and the clinical question addressed. CMS recognizes a professional interpretation component and a technical component for equipment and staff: report modifier 26 for the professional component, modifier TC for the technical component, or neither modifier for the global service.
CMS billing rules for 95864
- 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 RVU1.94 · 27%
- Practice expense (office) RVU5.17 · 72%
- Malpractice RVU0.09 · 1%
1.2K
Medicare services in 2024 · #2874 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.
95864 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$60.19
95885 describes a limited needle examination by extremity performed with nerve conduction testing, rather than the four-extremity study reported with 95864.
$93.79
95886 describes a complete needle examination by extremity performed with nerve conduction testing. Use 95864 for a four-extremity study outside that reporting circumstance.
Compare 95864 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
$225.32
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 95864 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,585
- Code
- 95864
- Physician work
- 1.94
- Practice expense
- 5.17
- Malpractice
- 0.09
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.000 | 1.9400 |
| Practice expense | 5.17 | × 0.923 | 4.7719 |
| Malpractice | 0.09 | × 0.378 | 0.0340 |
| Total RVUs | 6.7459 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$225.32
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.94 | 1 |
| Practice expense | 5.17 | 0.923 |
| Malpractice | 0.09 | 0.378 |
(1.94 × 1 + 5.17 × 0.923 + 0.09 × 0.378) × $33.4009 = $225.32
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.
95864 billing questions
When should 95864 be selected instead of 95863?
Use 95864 when the needle examination covers all four extremities. Code 95863 describes a study covering three extremities.
Does 95864 represent four units?
The code represents a needle EMG study of four extremities, not one unit for each limb. Document the limbs and muscles examined.
How are the professional and technical portions reported?
Use modifier 26 for the interpretation and modifier TC for the equipment and staff portion. Report without either modifier when billing the global service.
How does 95864 differ from 95886?
95864 covers needle examination of four extremities. Code 95886 is reported by extremity for a complete needle examination performed with nerve conduction testing.
What documentation supports 95864?
Record the clinical reason for testing, the extremities and muscles sampled, and the examination findings and interpretation. The documentation should support that the study covered all four extremities.
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.
12,58295863,,Needle emg 3 extremities,A,,1.82,4.69,,4.69,NA,0.09,6.60,6.60,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,58395863,26,Needle emg 3 extremities,A,,1.82,1.06,,1.06,,0.08,2.96,2.96,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,58495863,TC,Needle emg 3 extremities,A,,0.00,3.63,,3.63,NA,0.01,3.64,3.64,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,58595864,,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
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