CPT code 95867 covers needle electromyography (EMG) of muscle(s) innervated by cranial nerves, recording electrical activity at rest and during contraction with computerized waveform display and audible output. This electrodiagnostic procedure supports diagnosis of neuromuscular disorders affecting cranial-nerve–innervated muscles (for example, facial or bulbar muscles) and can influence clinical decisions about further testing, medical management, or referral to specialists. Nationally, accurate coding of this service matters for clinical documentation, appropriate payment, and quality measurement of neuromuscular diagnostic services.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis addresses common payer coverage patterns and reimbursement considerations for electrodiagnostic services, recognizing payer-specific policies may differ.

Readers will learn the clinical context and procedural scope of CPT code 95867, typical service settings, and what to expect in payer coverage discussions. The publication provides benchmarks related to utilization and payment where available, highlights policy implications for neurodiagnostic services, and summarizes coding relationships to related electrodiagnostic procedures. Data not available in the input is noted where applicable.