January 19, 2017

Question:
Is the EMG guidance code for chemodenervation (95874) coded once per session or once per chemodenervation code?

Answer:
Code +95874 is an add-on code, coded for guidance in addition to specific chemodenervation codes. For example it can be added to code 64642, Chemodenervation of one extremity, 1-4 muscles. Per CPT Assistant October 2014, code +95874 is reported once for each chemodenervation code appropriately reported. So for example, if two extremities were treated with chemodenervation, each with 1-4 muscles, the codes would be:

64642 Chemodenervation of one extremity, 1-4 muscles
+64643 each additional extremity, 1-4 muscles
+85974
+95874

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*This response is based on the best information available as of 01/19/17.