$111.67–$124.47
Use 95860 when one extremity is examined; 95861 represents two extremities. The number of muscles tested does not determine this distinction.
On this page
CMS RVU26D · Effective 2026-10-01
95861 Needle EMG Medicare reimbursement rates in Texas
Reports needle electromyography examining muscles in two extremities to evaluate suspected nerve, nerve-root, motor-neuron, or muscle disorders. Compare 95861 office and facility rates across CMS payment localities in Texas.
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 95861 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$151.97–$168.12
8 of 8 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.
Where 95861 pays more and less in Texas
8 payment localities
$151.97 to $168.12
Electrodiagnostic testing
About 95861: Needle electromyography, two extremities
Reports needle electromyography examining muscles in two extremities to evaluate suspected nerve, nerve-root, motor-neuron, or muscle disorders.
A clinician inserts a fine needle electrode into selected muscles and records their electrical activity at rest and during voluntary activation. The findings can help evaluate problems such as suspected radiculopathy, peripheral nerve injury, or muscle disease. Neurologists and physical medicine and rehabilitation physicians commonly perform or interpret the study in office and hospital settings. The code identifies testing of two extremities; the specific muscles examined depend on the clinical question and examination plan.
Select the code based on the number of extremities examined, not the number of muscles sampled. Documentation should identify the extremities and muscles tested, the clinical reason for the study, and the findings and interpretation. CMS recognizes separately priced professional and technical components: modifier 26 represents interpretation, modifier TC represents equipment and staff, and reporting without a modifier represents the global service.
CMS billing rules for 95861
- 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 RVU1.50 · 31%
- Practice expense (office) RVU3.27 · 67%
- Malpractice RVU0.08 · 2%
52.7K
Medicare services in 2024 · #762 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.
95861 compared with similar codes
Office rates for Texas, from the same CMS release.
$206.13–$229.31
Use 95863 when three extremities are examined. For a study of two extremities, use 95861.
$59.69–$67.51
95885 describes limited needle EMG by extremity when performed with nerve conduction studies. 95861 describes testing of two extremities rather than a limited study per extremity.
$93.42–$103.92
95886 describes complete needle EMG by extremity when performed with nerve conduction studies. 95861 identifies a two-extremity study.
Compare 95861 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $168.12 | Facility Unavailable |
| Beaumont | Office $151.97 | Facility Unavailable |
| Brazoria | Office $160.82 | Facility Unavailable |
| Dallas | Office $161.63 | Facility Unavailable |
| Fort Worth | Office $160.57 | Facility Unavailable |
| Galveston | Office $161.17 | Facility Unavailable |
| Houston | Office $162.64 | Facility Unavailable |
| Rest Of Texas | Office $156.16 | Facility Unavailable |
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95861 billing questions
How is 95861 distinguished from 95860 or 95863?
Choose by the number of extremities examined: 95860 is for one, 95861 for two, and 95863 for three. The count is based on extremities, not muscles sampled.
Which modifiers identify the components?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without a modifier, the code represents the global service.
What should the record show to support two extremities?
Document the clinical indication, the two extremities examined, the muscles tested, and the study findings and interpretation.
Does sampling more muscles change the code to three extremities?
No. The code selection turns on the number of extremities examined, not the number of muscles sampled.
How does 95861 differ from 95885 and 95886?
95861 identifies a needle EMG study of two extremities. Codes 95885 and 95886 describe limited or complete needle EMG by extremity when performed with nerve conduction studies.
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.
12,57695860,,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
12,58095861,26,Needle emg 2 extremities,A,,1.50,0.86,,0.86,,0.07,2.43,2.43,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,58195861,TC,Needle emg 2 extremities,A,,0.00,2.41,,2.41,NA,0.01,2.42,2.42,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,58295863,,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