$117.61–$136.86
95860 is needle EMG sampling of one extremity. Choose 95875 for limb exercise testing with electrodiagnostic measurements.
On this page
CMS RVU26D · Effective 2026-10-01
95875 Limb exercise test Medicare reimbursement rates in Virginia
Electrodiagnostic limb exercise testing records muscle responses to exertion and is reported when evaluating suspected exercise-related weakness or abnormal muscle excitability. Compare 95875 office and facility rates across CMS payment localities in Virginia.
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 95875 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$126.55–$146.94
2 of 2 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.
Electrodiagnostic testing
About 95875: Electrodiagnostic limb exercise test
Electrodiagnostic limb exercise testing records muscle responses to exertion and is reported when evaluating suspected exercise-related weakness or abnormal muscle excitability.
This electrodiagnostic study records how a limb muscle responds to a controlled exercise protocol, using electrical measurements around exertion to identify abnormal response patterns. Neurologists and physical medicine and rehabilitation physicians typically perform it in an electrodiagnostic laboratory when evaluating episodic or exertional weakness, including suspected periodic paralysis or other muscle excitability disorders. The test differs from measuring joint range of motion and from needle sampling of muscle.
Report 95875 when the limb exercise protocol and its electrodiagnostic measurements are performed. Documentation should identify the limb tested, the protocol, the recorded responses, and the interpretation. The CMS fee schedule recognizes a professional component for interpretation (modifier 26) and a technical component for equipment and staff (modifier TC); a claim without either modifier represents the global service. Select the component that matches the work furnished and billed, and connect the findings to the suspected neuromuscular condition rather than documenting exercise alone.
CMS billing rules for 95875
- 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 RVU1.07 · 28%
- Practice expense (office) RVU2.73 · 71%
- Malpractice RVU0.05 · 1%
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.
95875 compared with similar codes
Office rates for Virginia, from the same CMS release.
$66.25–$77.24
95857 reports a cholinesterase challenge, a pharmacologic test. 95875 reports electrical muscle-response measurements around limb exercise.
$25.61–$30.01
95851 measures joint range of motion. It does not describe electrical measurement of muscle response during an exercise protocol.
Compare 95875 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$146.94
Facility
Unavailable
Virginia →
Office / nonfacility
$126.55
Facility
Unavailable
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95875 billing questions
How is 95875 different from needle EMG?
95875 reports electrical measurement of muscle response around a limb exercise protocol. Needle EMG codes report needle sampling of muscle, with code selection based on the muscles and extremities examined.
When should 95875 be considered instead of a range-of-motion code?
Use 95875 for an exercise protocol with electrodiagnostic measurements of muscle response. Range-of-motion codes describe joint movement measurements, not electrical muscle testing.
Can the professional and technical components be billed separately?
Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff component. Without either modifier, the claim represents the global service.
What should the record show?
Document the limb tested, the exercise protocol, the electrical responses recorded, and the interpretation linking the findings to the clinical evaluation.
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.
12,61295874,,Guide nerv destr needle emg,A,,0.36,2.04,,2.04,NA,0.01,2.41,2.41,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61395874,26,Guide nerv destr needle emg,A,,0.36,0.22,,0.22,,0.01,0.59,0.59,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,61495874,TC,Guide nerv destr needle emg,A,,0.00,1.82,,1.82,NA,0.00,1.82,1.82,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
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