2-Limb EMG 5+ musc with 13+ NCS

Billed together on one claim

95913 95886 ×2

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Price for scenario

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Fee schedule

2026 Medicare PFS · RVU26D

Effective October 1, 2026 · CF $33.4009

Locality

San Jose Sunnyvale Santa Clara (Santa Clara Cnty), CA (01112-09)

Setting · provider

Facility rates · Physician

Payer

Traditional Medicare

Priced as of

November 13, 2026

Medicare allowed

$0.00

Total the claim is paid on

Medicare pays

$0.00

80%, less 2% sequestration

Patient owes

$0.00

20% coinsurance, once the Part B deductible is met

Billing rules changed it by

—

from $0.00 at full fee schedule

Nothing required before billing, but 95913 and 95886 pay $0. See the claim lines and payment risks.

Highest-paid first, the order Medicare ranks multiple procedures

Code	Description	Units	Fee schedule	× Units	Adjustments	Allowed
95913	Nrv cndj test 13/> studies Not separately paid by MedicareNCS/EMG: real-time testing, tabular data	1	Not paid	—	—	—
95886	Musc test done w/n test comp Not separately paid by MedicareNCS/EMG: real-time testing, tabular data	2	Not paid	—	—	—
Total				$0.00	—	$0.00

Not separately paid by Medicare 95913

95913: No facility rate: in a facility setting bill the professional component (-26).
NCS/EMG: real-time testing, tabular data 9591395886

The MAC NCS/EMG LCDs expect a qualified, trained examiner and real-time waveform testing; handheld or delayed-interpretation devices are not separately payable. The record must show the reason for referral and a diagnostic impression, and NCS values (latency, amplitude, velocity) should be kept, preferably in a table. Each NCS code is payable once per nerve. Source
Not separately paid by Medicare 95886

95886: No facility rate: in a facility setting bill the professional component (-26).

Before the Part B deductible

Until the patient meets the annual Part B deductible, they pay the full allowed amount instead of 20% coinsurance.

How each fee is calculated (Work RVU × GPCI + PE RVU × GPCI + MP RVU × GPCI) × conversion factor ▸

Code	Work	Practice expense	Malpractice	Adjusted RVU	× CF	Fee	Global	Multiple procedure	Bilateral (50)	Assistant	Co-surgeon (62)
95913	3.47 × 1.11	5.35 × 1.442 facility	0.16 × 0.397	11.6299	33.4009	$388.45	No global period	No reduction	No bilateral adjustment	Needs documentation	Not permitted
95886	0.84 × 1.11	2.12 × 1.442 facility	0.03 × 0.397	4.0014	33.4009	$133.65	Add-on code	No reduction	100% each side	Needs documentation	Not permitted

GPCIs for San Jose Sunnyvale Santa Clara (Santa Clara Cnty), CA (01112-09) in RVU26D. Imaging fees are capped at the OPPS amount when that's lower.