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Blue Cross & Blue Shield of MississippiAll Plans · Billing Codes · Medical Policy · MS · Chiropractic, NeurologyMedium impact

Electromyography (EMG)

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Invasive (needle) EMG is outside a chiropractor's scope of practice under the Mississippi law cited in the policy, so it can only be performed by physicians, primarily neurologists. Non-invasive surface EMG has not been scientifically demonstrated as a useful tool for evaluating radiculopathy, and some surface EMGs are not medically necessary and are investigational in nature. EMG is covered for diagnostic purposes in spinal cord injury, herniated nucleus pulposus, thoracic outlet syndrome, nerve syndrome, back and extremity pain, peripheral neuritis and the Tensilon test for myasthenia gravis, and for treatment of pathological muscle abnormalities for spasticity, incapacitating muscle spasm and semiparesis.

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What to do

Action · 3 steps
01Report invasive (needle) EMG codes 95860, 95861, 95863, 95864, 95865, 95866, 95867, 95868, 95869 and 95870 only for services performed by physicians, primarily neurologists, because invasive EMG is outside chiropractic scope.
02Do not report 96002, 96004, 97014, 97032, E0746 or S3900 as covered services, since the policy lists them as investigational.
03Covered codes are medically necessary only when the procedure is performed according to the policy section, so match each EMG claim to a covered diagnosis in the code reference, such as G11.4 (hereditary spastic paraplegia), G54.0 (brachial plexus disorders) or M51.26 and M51.27 (lumbar disc displacement).

Codes mentioned

9586095861958639586495865958669586795868958699587096002960049701497032E0746S3900G11.4G54.0M51.26M51.27

Original notice

Electromyography (EMG)
bcbsms.com · Always check the source before changing claims.
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