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2025 CPT code 95869

Needle electromyography of thoracic paraspinal muscles (excluding T1 and T12).

Refer to the AMA CPT guidelines and payer-specific guidelines for complete coding instructions. The code should only be used when specifically studying thoracic paraspinal muscles (excluding T1 and T12) and the study is limited.Only one unit can be billed for this procedure even if bilateral.

Modifier 26 (professional component) can be appended if only the physician's interpretation is billed; modifier 59 (distinct procedural service) may apply in certain situations, but use caution and refer to specific payer guidelines before using it.

Medical necessity for code 95869 is established when there is clinical suspicion of neuromuscular disorders, myopathies, radiculopathies, or other conditions affecting the thoracic paraspinal muscles.Supporting documentation such as imaging results, neurological examination findings, and the patient's symptoms are essential for justifying the study's necessity.

A neurologist or other qualified healthcare professional inserts needle electrodes into the thoracic paraspinal muscles (excluding T1 and T12) to record and interpret the electrical activity. The physician reviews the recordings and produces a report summarizing the findings for diagnosis and management.

IMPORTANT:Should not be reported in addition to codes 96000-96004.May be used in conjunction with other EMG codes (95860-95864, 95867-95870, 95885, 95886) depending on the number of muscles tested and whether nerve conduction studies are performed on the same day.Specific alternate codes exist for EMG of other locations (anal/urethral sphincter, larynx, hemidiaphragm, extraocular muscles).

In simple words: This test uses tiny needles to check the electrical signals in the muscles along your spine in your upper back. It helps doctors find problems with your nerves and muscles.

This CPT code describes a needle electromyography (EMG) procedure focusing on the thoracic paraspinal muscles, excluding the first (T1) and twelfth (T12) thoracic vertebrae.The procedure involves inserting needle electrodes into the targeted muscles to record and analyze their electrical activity. This helps diagnose neuromuscular disorders and other conditions affecting these muscles.The code is reported only once per session, regardless of the number of levels tested or whether it's unilateral or bilateral.

Example 1: A patient presents with chronic upper back pain of unknown etiology.The physician orders a needle EMG of the thoracic paraspinal muscles to evaluate for myopathy, radiculopathy, or other neuromuscular causes of the pain.Code 95869 would be appropriate if the study is limited to the thoracic region (excluding T1 and T12)., A patient with suspected thoracic outlet syndrome undergoes EMG testing. The physician focuses the examination on the relevant paraspinal muscles to assess for nerve compression or other neuromuscular involvement in the condition.95869 is billed if only thoracic paraspinal muscles (excluding T1 and T12) are examined., A patient with a history of trauma to the thoracic spine undergoes a focused EMG study to assess the condition of the paraspinal muscles. This targeted evaluation only includes muscles between T3 and T11. Code 95869 would be used for this limited study.

Detailed medical history, including the reason for the study.A description of the specific muscles examined, the locations of needle insertions, and the findings of the EMG study.Electrodiagnostic waveforms and numerical data from the study.The physician's interpretation and diagnosis based on the results. This information should be documented in the patient's chart.

** The descriptor specifically states "muscles" (plural), indicating that only one unit of 95869 can be billed per session, irrespective of the number of levels studied or whether the procedure is unilateral or bilateral.Modifier 50 (bilateral procedure) is not applicable. Always confirm with payer specific guidelines for billing practices.

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