CPT code 95874: Injection guidance2026 Medicare rate & RVUs in Oklahoma
Reports needle EMG used to guide muscle selection or needle placement during chemodenervation, such as botulinum toxin injection for focal spasticity or dystonia.
Medicare pays $73.13 for 95874 in the office in Oklahoma (Oklahoma). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 95874 covers
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.
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 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $73.13 | Unavailable |
How the 95874 rate is calculated
Each of 95874’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 95874
RVUs × geographic indexes × conversion factor
Work0.36
0.36 RVUs× 1.000 GPCI
Practice expense2.04
2.04 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
2.4100
Conversion factor
$33.4009
Medicare rate
$80.50
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95874
The CMS indicators that decide how 95874 is paid alongside other services.
CMS payment indicators · 95874
Injection guidance
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
95874 without 26 · national office
$80.50
Injection guidance
95874-26 · Professional component
$19.71
Pays only the interpretation and report.
95874 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 95873Stimulation guidance
- Both codes describe guidance during chemodenervation, but 95873 uses electrical stimulation while 95874 uses needle EMG.
- 95860Needle EMG
- Code 95860 reports diagnostic needle EMG testing of one extremity. Code 95874 reports needle EMG used to guide a chemodenervation injection.
- 64615Migraine chemodenervation
- 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.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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