Chemodenervation with Needle Electromyography

Question:

My doctor performed chemodenervation on all four extremities using needle electromyography. We use CPT code 95874 for the electromyography. My question is do I only report CPT 95874 once for all 4 extremities or can I report 95874 it for each extremity. Do I need to add Modifier 59?

Answer:

Yes, you can report needle electromyography with chemodenervation for each extremity. However, report only one guidance code per chemodenervation code.