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See a sample rate comparisonCPT 95872 Fee Schedule
Last Verified: September 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.
Testing Of Nerve In Muscle, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into Each Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95872 |
| Medicaid Fee Schedule | View Medicaid rates for 95872 |
National average reimbursement for CPT 95872 by major payers:
$219.16
$237.64
$250.83
$295.47
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CPT 95872
5 of 25 sample ratesHigher to lower in this preview
Ravi Ramasamy
Seattle Childrens Hospital
$478.73Published rateBetsy Ostrander
Scl Health Montana
$345.94Published rateChelsea Curry
Advocate Health And Hospitals Corporation
$256.94Published rateUtpal Dhruve
Advocate Health And Hospitals Corporation
$96.33Published rateLeon Home Health, LLC, Leon At Home
$30.69Published rate
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See a sample payer proposalCPT 95872 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95872 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 95872 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 |
|---|---|---|
| 95870-CPT | Low | Testing Of Nerve In Muscle, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into Each Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested. |
| 95872-CPT | Moderate | Testing Of Nerve In Muscle, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into Each Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested. |
| 95873-CPT | Low | Guidance For Nerve Injection, Guidance By Needle Or Electrical Stimulation For A Chemodenervation Procedure (Chemodenervation Disrupts The Messages Sent Between Nerves And Muscles And Is Used To Decrease Muscle Spasticity). |
| 95874-CPT | Low | Guidance For Nerve Injection, Guidance By Needle Or Electrical Stimulation For A Chemodenervation Procedure (Chemodenervation Disrupts The Messages Sent Between Nerves And Muscles And Is Used To Decrease Muscle Spasticity). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95872. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95872 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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