2025 CPT code 95885
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Electromyography Medicine Services and Procedures > Neurology and Neuromuscular Procedures Feed
Needle electromyography, each extremity, with related paraspinal areas, when performed with nerve conduction studies; limited.
Modifiers 26 (professional component) and TC (technical component) may be applicable depending on the billing arrangement.Consult your local Medicare Administrative Contractor (MAC) or payer-specific guidelines for modifier usage.
Medical necessity is established by symptoms suggestive of peripheral nerve or muscle pathology, such as weakness, muscle atrophy, pain, or sensory disturbances. The EMG is ordered to confirm a clinical suspicion of neuromuscular disorders.
The physician or qualified healthcare professional is responsible for inserting the needle electrodes, recording the electrical activity, interpreting the waveforms, and generating a report.
- Medicine Services and Procedures > Neurology and Neuromuscular Procedures
- Neurology and Neuromuscular Procedures
In simple words: This test checks the electrical activity of muscles in your arm or leg and nearby back muscles.It's done at the same time as another nerve test and helps doctors see how well your nerves and muscles are working.
This CPT code, 95885, represents a limited needle electromyography (EMG) of an extremity, including related paraspinal muscles, performed concurrently with nerve conduction studies.The procedure involves inserting needle electrodes into muscles to record electrical activity at rest and during contraction, assessing muscle integrity and nerve function. This is an add-on code and requires a primary nerve conduction study code (95905-95913) for proper billing.
Example 1: A patient presents with weakness in their right arm and hand.The physician orders nerve conduction studies and a limited EMG of the right upper extremity, including related paraspinal muscles, to evaluate for carpal tunnel syndrome., A patient complains of lower extremity weakness. Nerve conduction studies and a limited EMG of the left lower extremity, and related paraspinal muscles, are performed to assess for radiculopathy., A patient has bilateral lower extremity weakness.The physician orders nerve conduction studies and limited EMGs of both lower extremities with related paraspinal areas to evaluate for potential polyneuropathy.
* Detailed patient history and physical examination findings.* Results of nerve conduction studies.* Detailed description of muscles studied with EMG.* EMG waveforms and interpretations.* Physician's assessment and plan.
** This code is for a limited EMG. For more extensive studies, use other appropriate CPT codes such as 95886. Always consult the latest CPT guidelines and payer-specific policies for accurate coding and reimbursement.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: The RVUs for this code vary depending on the geographic location and payer.Consult your local Medicare fee schedule or payer-specific reimbursement guidelines.
- Global Days: This is an add-on code; global surgical days do not apply.
- Payment Status: Active
- Modifier TC rule: Modifier TC may be appended if the technical component is billed separately from the professional component.
- Fee Schedule: Historical fee schedule data varies by payer and geographic location. Consult historical fee schedules or Medicare claims data for relevant information.
- Specialties:Neurology, physiatry, neuromuscular medicine
- Place of Service:Office, hospital outpatient department, ambulatory surgery center