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See a sample rate comparisonCPT 95865 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Test Nerve In Voice Box, This Test Inserts A Needle Electrode Into The Muscles Of The Voice Box. An Emg (Electromyography) Measures How Nerves And Muscles Interact. It Shows If And How A Nerve Instruction Reaches A Muscle And How That Muscle Responds.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital 15 - Mobile Unit |
| Common Modifiers | 26 - Professional component None XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 95865 |
| Medicaid Fee Schedule | View Medicaid rates for 95865 |
National average reimbursement for CPT 95865 by major payers:
$171.80
$179.75
$214.32
$236.32
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CPT 95865
5 of 25 sample ratesHigher to lower in this preview
Angela Green
$302.05Published rateShalini Chawla
Shalini Chawla Md LLC
$176.86Published rateUsha Appalaneni
Advocate Health And Hospitals Corporation
$142.36Published rateLaron Phillips
Brightside Medical
$95.20Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$37.87Published rate
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See a sample payer proposalCPT 95865 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95865 code is part of the Medicine Services and Procedures services used for Neurology and Neuromuscular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 95865 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 95865-CPT | Low | Test Nerve In Voice Box, This Test Inserts A Needle Electrode Into The Muscles Of The Voice Box. An Emg (Electromyography) Measures How Nerves And Muscles Interact. It Shows If And How A Nerve Instruction Reaches A Muscle And How That Muscle Responds. |
| 95866-CPT | Low | Test Nerve In Diaphragm, This Test Inserts A Needle Electrode Into The Muscles Of The Diaphragm. An Emg (Electromyography) Measures How Nerves And Muscles Interact. It Shows If And How A Nerve Instruction Reaches A Muscle And How That Muscle Responds. |
| 95867-CPT | Low | Nerve Test In Head Or Neck, This Test Inserts An Electrode Attached To A Needle Into Muscles Of The Face Head And Neck To Measure The Electrical Interaction Between Nerves And Muscles. It Shows If And How A Nerve Instruction Reaches A Muscle And How That Muscle Responds. |
| 95868-CPT | Low | Nerve Test In Head Or Neck, This Test Inserts An Electrode Attached To A Needle Into Muscles Of The Face Head And Neck To Measure The Electrical Interaction Between Nerves And Muscles. It Shows If And How A Nerve Instruction Reaches A Muscle And How That Muscle Responds. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95865. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95865 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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