cpt 95886, cpt code 95886, 95886 cpt code

CPT Code 95886 | Needle Electromyography

CPT code 95886 refers to a needle electromyography procedure that involves inserting needles into muscles to evaluate the functioning of the nerves that innervate them and assess muscle integrity.

What Is CPT Code 95886?

CPT 95886 is an add-on code and refers to a needle electromyography procedure that involves inserting small needles into a muscle and recording the response of the muscle at rest and during voluntary contraction. This is done to assess muscle integrity and evaluate the functioning of the nerves that innervate the muscle.

The procedure may be performed with a primary nerve conduction study and involves analyzing at least five muscles innervated by three or more nerves or spinal levels.

The provider may also assess related paraspinal areas during the procedure.

Description

The CPT book describes CPT code 95886 as: “Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude, and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels.

Procedure

During the same session that the provider performs a primary procedure for nerve conduction studies, he performs this complete needle electromyography with related paraspinal areas.

When the patient is appropriately prepped, the provider places small needles into the muscle with the muscle at rest and when the patient contracts the muscle. He records the response of the muscle at rest and voluntary contraction.

He then analyzes the muscle integrity. The provider assesses five or more muscles that are innervated by three or more nerves or four or more spinal levels.

How To Use CPT 95886

CPT code 95886 is used in addition to the code for the primary procedure. Use this code once per extremity.

Because CPT 95886 is an add-on code, payers will not reimburse you if you report it without an appropriate primary code, which you can report using codes CPT 95905 to CPT 95913.

You can report CPT 95885 or CPT 95886 once for each extremity tested, so you can report either code four times if all four extremities are tested.

Use CPT 95886 with CPT 95907 until CPT 95913.

Do not report CPT 95886 with CPT 95860 until CPT 95864, CPT 95870, and CPT 95905.

Do not report CPT code 95886 with CPT 0766T or CPT 0768T.

Resources

CPT Professional 2022

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