2025 CPT code 95865
(Active) Effective Date: N/A Revision Date: N/A Neurology - Electromyography Medicine Services and Procedures > Neurology and Neuromuscular Procedures Feed
Needle electromyography of the larynx.
Modifiers 26 (professional component), 52 (reduced services), and TC (technical component) may be applicable depending on the circumstances of service provision.
Medical necessity is established when clinical symptoms or findings warrant investigation of laryngeal muscle function to diagnose or manage neuromuscular disorders. This may include cases of hoarseness, dysphagia, vocal cord dysfunction, or suspected neurological involvement of the larynx.
Neurologists or other qualified healthcare professionals perform this test to diagnose neuromuscular laryngeal disorders.The procedure involves inserting a needle electrode into the laryngeal muscles and monitoring the electrical activity.
- Medicine Services and Procedures > Neurology and Neuromuscular Procedures
- Neurology and Neuromuscular Procedures
In simple words: This test uses tiny needles to check the electrical activity of the muscles in your voice box (larynx) to help diagnose problems with these muscles.
This procedure involves inserting needle electrodes into the laryngeal muscles to record and interpret the electrical activity produced by muscle cells.The electromyograph produces both visible and audible signals, allowing for the diagnosis of neuromuscular laryngeal disorders.
Example 1: A patient presents with hoarseness and difficulty swallowing.Needle EMG of the larynx is performed to evaluate for vocal cord paralysis or other neuromuscular conditions., A patient who underwent laryngeal surgery experiences persistent voice problems.Needle EMG is used to assess the function of the laryngeal muscles post-surgery., A patient with a history of neurological disease exhibits symptoms suggesting involvement of the laryngeal muscles.Needle EMG helps determine the extent of muscle involvement.
* Detailed patient history including symptoms (e.g., hoarseness, dysphagia, voice changes).* Physical examination findings related to the larynx.* Results of the needle EMG procedure, including waveform analysis and interpretation.* Physician’s report summarizing the findings and diagnosis.
** Accurate interpretation of EMG waveforms is crucial for diagnosis.Consider consulting with a specialist for complex cases.
- Payment Status: Active
- Modifier TC rule: Modifier TC may be used if only the technical component of the service is reported. The use of modifier TC depends on who performed the technical component.
- Specialties:Neurology, Otolaryngology
- Place of Service:Office, Hospital (Inpatient/Outpatient), Ambulatory Surgical Center