Billing code 95887: Needle EMGMedicare rate & RVUs in Utah
Reports needle muscle sampling of cranial-nerve or axial muscles during a nerve-conduction evaluation, rather than needle testing confined to an extremity.
Medicare pays $84.23 for 95887 in the office in Utah (Utah). 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 95887 covers
This service evaluates electrical activity in muscles outside the limbs while nerve conduction testing is also performed. The sampled muscles may include facial or other cranial-nerve-supplied muscles, spinal muscles, or thoracic paraspinal muscles. Neurologists, physiatrists, and other clinicians trained in electrodiagnostic testing commonly perform and interpret the study in office or facility settings. The needle examination helps assess motor-unit activity in muscles selected to investigate a suspected nerve, root, or neuromuscular disorder.
Report 95887 as an add-on with the nerve-conduction study primary procedure, not by itself. Documentation should identify the muscles examined, the clinical reason for sampling them, and the findings, alongside the nerve-conduction study record. CMS treats it as paid within the primary procedure's global period. Modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service; without either modifier, the claim represents the global service. When performed bilaterally, each side is paid separately at 100%.
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.
95887 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $84.23 | Unavailable |
How the 95887 rate is calculated
Each of 95887’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 · 95887
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.69Practice expense 1.92Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95887
The CMS indicators that decide how 95887 is paid alongside other services.
CMS payment indicators · 95887
Needle EMG
| 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) | 3 | Each side paid at 100% (no 150% cap). |
| 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
95887 without 26 · national office
$88.18
Needle EMG
95887-26 · Professional component
$37.07
Pays only the interpretation and report.
95887 compared with similar codes
Compare codes
95887 vs 95885 vs 95886 vs 95867 vs 95869: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95885Needle EMG
- 95885 covers limited needle EMG of limb muscles performed with nerve conduction. Choose 95887 for non-extremity muscles.
- 95886Needle EMG add-on
- 95886 covers complete needle EMG of limb muscles performed with nerve conduction; 95887 is for non-extremity muscle sampling.
- 95867Needle EMG
- 95867 describes unilateral cranial-nerve muscle needle EMG. 95887 is used when non-extremity needle testing is performed with nerve conduction studies.
- 95869Needle EMG
- 95869 is a thoracic paraspinal needle EMG code. Use 95887 when the non-extremity muscle testing is performed with nerve conduction studies.
95887 billing questions
When should I choose 95887 instead of 95885 or 95886?
Use 95887 for non-extremity muscle sampling performed with nerve conduction testing. Codes 95885 and 95886 describe limited or complete needle EMG testing of limb muscles in that setting.
Can 95887 be billed without a nerve-conduction study?
No. It is an add-on code and must be reported with a primary procedure, such as an applicable nerve-conduction study code.
How should I report the professional and technical services?
Use modifier 26 for the professional interpretation or modifier TC for the technical service. Without a component modifier, the claim represents the global service.
How is bilateral testing reported?
When testing is performed on both sides, CMS pays each side separately at 100%. Document the muscles and side examined.
What documentation supports 95887?
Record the non-extremity muscles sampled, the reason for examining them, the study findings, and the associated 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 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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