$93.42–$103.92
Both cover extremity needle EMG performed with nerve conduction testing. Choose 95885 for a limited examination and 95886 for a complete examination.
On this page
CMS RVU26D · Effective 2026-10-01
95885 Needle EMG Medicare reimbursement rates in Texas
Reports a limited needle EMG of an extremity performed with nerve conduction testing to evaluate suspected peripheral nerve or muscle dysfunction. Compare 95885 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 95885 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
$59.69–$67.51
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 95885 pays more and less in Texas
8 payment localities
$59.69 to $67.51
Electrodiagnostic testing
About 95885: Limited extremity needle EMG with nerve conduction
Reports a limited needle EMG of an extremity performed with nerve conduction testing to evaluate suspected peripheral nerve or muscle dysfunction.
This service involves a limited needle examination of muscles in an extremity performed alongside nerve conduction testing. Related paraspinal muscles may also be examined. Neurologists and physical medicine and rehabilitation physicians commonly use it when evaluating symptoms such as weakness, numbness, or suspected nerve-root or peripheral nerve dysfunction. The physician samples and interprets the electrical activity of selected muscles as part of the electrodiagnostic evaluation.
Report 95885 for each extremity receiving a limited needle examination with related nerve conduction testing; use 95886 when the extremity examination is complete. The record should identify the extremity examined, muscles sampled, findings, and associated nerve conduction testing. CMS treats 95885 as an add-on: submit it with a primary procedure, and payment falls within that procedure's global period. Each side is paid separately when testing is bilateral. Modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service.
CMS billing rules for 95885
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- 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
- Each side is paid separately at 100% when performed bilaterally.
Where the value comes from
- Work RVU0.34 · 18%
- Practice expense (office) RVU1.58 · 82%
- Malpractice RVU0.01 · 1%
118.9K
Medicare services in 2024 · #514 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.
95885 compared with similar codes
Office rates for Texas, from the same CMS release.
$82.34–$91.83
95887 applies to needle EMG of non-extremity muscles performed with nerve conduction testing; 95885 applies to an extremity examination.
$111.67–$124.47
95860 reports needle EMG of one extremity, while 95885 is the limited extremity service reported with nerve conduction testing.
$88.69–$97.53
95907 reports nerve conduction testing, not needle EMG. It may be the primary procedure with which 95885 is reported as an add-on.
Compare 95885 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 $67.51 | Facility Unavailable |
| Beaumont | Office $59.69 | Facility Unavailable |
| Brazoria | Office $64.01 | Facility Unavailable |
| Dallas | Office $64.31 | Facility Unavailable |
| Fort Worth | Office $63.78 | Facility Unavailable |
| Galveston | Office $64.13 | Facility Unavailable |
| Houston | Office $64.31 | Facility Unavailable |
| Rest Of Texas | Office $61.74 | Facility Unavailable |
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95885 billing questions
When should 95885 be used instead of 95886?
Use 95885 for a limited needle examination of an extremity performed with nerve conduction testing. Use 95886 when the extremity examination is complete.
Can 95885 be billed without a nerve conduction procedure?
No. It is an add-on code and must be submitted with a primary procedure, typically the nerve conduction study performed in the same electrodiagnostic evaluation.
How should bilateral testing be reported?
Report the service for each tested side. CMS pays each side separately when performed bilaterally.
What documentation supports 95885?
Document the extremity and muscles examined, the needle EMG findings, and the related nerve conduction testing. The record should support that the needle examination was limited.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff. Without either modifier, the claim represents the global service.
How does 95885 differ from 95887?
95885 is for a limited needle examination of an extremity with nerve conduction testing. 95887 is for needle EMG of non-extremity muscles with nerve conduction testing.
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.
12,61595875,,Limb exercise test,A,,1.07,2.73,,2.73,NA,0.05,3.85,3.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61695875,26,Limb exercise test,A,,1.07,0.68,,0.68,,0.04,1.79,1.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61795875,TC,Limb exercise test,A,,0.00,2.05,,2.05,NA,0.01,2.06,2.06,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,61895885,,Musc tst done w/nerv tst lim,A,,0.34,1.58,,1.58,NA,0.01,1.93,1.93,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61995885,26,Musc tst done w/nerv tst lim,A,,0.34,0.20,,0.20,,0.01,0.55,0.55,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,62095885,TC,Musc tst done w/nerv tst lim,A,,0.00,1.38,,1.38,NA,0.00,1.38,1.38,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,6A,0,99,0.00,0.00,0.00
12,62195886,,Musc test done w/n test comp,A,,0.84,2.12,,2.12,NA,0.03,2.99,2.99,1,ZZZ,0.00,0.00,0.00,0,3,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00