2025 CPT code 95874
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Neurology - Guidance Procedures for Chemodenervation Medicine Services and Procedures > Neurology and Neuromuscular Procedures Feed
Needle electromyography guidance for chemodenervation; add-on code.
Modifier 26 (professional component) may be appended if only the professional component of the service is performed. Modifier TC (technical component) can apply if the technical component is performed separately. Note that the use of modifiers depends on specific payer requirements and the circumstances of service delivery.
Chemodenervation guided by needle EMG is medically necessary when the precise localization of the affected muscle(s) is crucial for optimal treatment outcomes and to minimize complications. The procedure is indicated for various neurological disorders causing muscle spasticity or dystonia, such as cervical dystonia, blepharospasm, and other focal dystonias.
The neurologist or other qualified healthcare professional performs the needle EMG to guide the chemodenervation injection. This requires expertise in neuromuscular medicine and injection techniques.
- Medicine Services and Procedures > Neurology and Neuromuscular Procedures
- Neurology and Neuromuscular Procedures; Guidance Procedures for Chemodenervation
In simple words: This code describes using a special needle test (EMG) to guide an injection of medicine to relax overactive muscles.The injection helps treat muscle stiffness and movement problems. This code is only used along with the main code for the muscle injection.
This CPT code, 95874, reports needle electromyography (EMG) guidance used in conjunction with chemodenervation.Chemodenervation involves injecting a neurotoxin (e.g., botulinum toxin, alcohol) into muscles to reduce spasticity or treat movement disorders.The EMG guidance is used to precisely locate the target muscles for the injection. This code is an add-on code and must be reported in addition to the primary chemodenervation procedure code (e.g., 64612, 64615, 64616, 64642, 64643, 64644, 64645, 64646, 64647).
Example 1: A patient with spasmodic torticollis (cervical dystonia) undergoes chemodenervation of neck muscles.Needle EMG guidance (95874) is used to precisely target the affected muscles for botulinum toxin injection. The primary procedure code would be 64616., A patient with blepharospasm receives chemodenervation injections to the periorbital muscles.Needle EMG guidance (95874) assists in targeting the injections, aiming to reduce the severity of eyelid spasms. Appropriate primary procedure code(s) would need to be identified., A patient with focal dystonia affecting the hand receives chemodenervation injections guided by needle EMG (95874). The precise location of the injections is determined by the EMG to maximize therapeutic effect and minimize side effects.An appropriate primary procedure code for the hand would be needed.
* Detailed history and physical examination documenting the indication for chemodenervation.* Precise documentation of the muscles injected.* EMG findings demonstrating the need for guidance.* Documentation of the neurotoxin used, dosage, and injection sites.* Post-procedure assessment of the patient's response to the treatment.
** Always refer to the most current CPT codebook and payer-specific guidelines for accurate coding and billing practices.
- Revenue Code: P6C (Medicare Fee Schedule: MINOR PROCEDURES - OTHER)
- RVU: The relative value units (RVUs) for this code vary depending on factors such as geographic location, facility type, and payer. Consult a relevant fee schedule for current values.
- Global Days: Not applicable; this is an add-on code.
- Payment Status: Active
- Modifier TC rule: Modifier TC may apply if the technical component of the service is billed separately. However, in many cases the technical component is considered inherent to the procedure.
- Fee Schedule: Historical fee schedule data is not available in the provided sources.Consult a relevant fee schedule database.
- Specialties:Neurology, Neurosurgery
- Place of Service:Office, Hospital (Inpatient/Outpatient), Ambulatory Surgical Center