How To Use CPT Code 95872

CPT 95872 describes the procedure of needle electromyography using a single fiber electrode, with quantitative measurement of jitter, blocking, and/or fiber density at any/all sites of each muscle studied. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 95872?

CPT 95872 can be used to describe the procedure of needle electromyography using a single fiber electrode, with quantitative measurement of jitter, blocking, and/or fiber density at any/all sites of each muscle studied. This code is used when the provider records and studies the electrical activity of a muscle using a special needle electrode with a small recording surface. The goal is to identify electrical activity from an individual muscle fiber and measure parameters such as jitter, blocking, and fiber density.

2. Official Description

The official description of CPT code 95872 is: ‘Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied.’

3. Procedure

  1. The provider selects a muscle to study and prepares the patient for the procedure.
  2. A single fiber electrode, which has a small recording surface, is inserted into the muscle.
  3. The provider records and studies the electrical activity from the selected muscle fiber.
  4. Parameters such as jitter, blocking, and fiber density are measured at any/all sites of the muscle studied.
  5. The provider may repeat the procedure for multiple muscles if necessary.

4. Qualifying circumstances

CPT 95872 is performed when the provider needs to identify electrical activity from an individual muscle fiber and measure parameters such as jitter, blocking, and fiber density. This procedure is commonly used for the diagnosis of myasthenia gravis, a neuromuscular disease characterized by muscle weakness and fatigue. The provider may perform the procedure at one or more sites of the muscle studied.

5. When to use CPT code 95872

CPT code 95872 should be used when the provider performs needle electromyography using a single fiber electrode and measures parameters such as jitter, blocking, and fiber density at any/all sites of each muscle studied. This code is appropriate for cases where the provider needs to assess the electrical activity of individual muscle fibers and evaluate neuromuscular transmission irregularities.

6. Documentation requirements

To support a claim for CPT 95872, the provider must document the following information:

  • The muscle(s) studied
  • The specific parameters measured (jitter, blocking, fiber density)
  • The results of the measurements
  • Date of the procedure
  • Signature of the provider

7. Billing guidelines

When billing for CPT 95872, ensure that the provider performs needle electromyography using a single fiber electrode and measures parameters such as jitter, blocking, and fiber density at any/all sites of each muscle studied. This code should not be reported with other codes unless the provider performs additional distinct procedures. Modifier 26 should be appended if reporting only the professional component, and modifier TC should be appended if reporting only the technical component.

8. Historical information

CPT 95872 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

  1. A neurologist performing needle electromyography using a single fiber electrode to measure jitter, blocking, and fiber density in the biceps muscle of a patient with suspected myasthenia gravis.
  2. An electromyographer studying the electrical activity of individual muscle fibers in the quadriceps muscle of a patient with muscle weakness and fatigue.
  3. A physiatrist assessing neuromuscular transmission irregularities in the deltoid muscle of a patient with suspected myasthenia gravis.
  4. A neurologist performing needle electromyography using a single fiber electrode to measure jitter, blocking, and fiber density in the trapezius muscle of a patient with muscle weakness and fatigue.
  5. An electromyographer studying the electrical activity of individual muscle fibers in the gastrocnemius muscle of a patient with suspected myasthenia gravis.
  6. A physiatrist assessing neuromuscular transmission irregularities in the orbicularis oculi muscle of a patient with ptosis and diplopia.
  7. A neurologist performing needle electromyography using a single fiber electrode to measure jitter, blocking, and fiber density in the tibialis anterior muscle of a patient with muscle weakness and fatigue.
  8. An electromyographer studying the electrical activity of individual muscle fibers in the gluteus maximus muscle of a patient with suspected myasthenia gravis.
  9. A physiatrist assessing neuromuscular transmission irregularities in the sternocleidomastoid muscle of a patient with muscle weakness and fatigue.
  10. A neurologist performing needle electromyography using a single fiber electrode to measure jitter, blocking, and fiber density in the interosseous muscles of a patient with suspected myasthenia gravis.

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