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Needle electromyography (EMG) is a diagnostic procedure used to assess the electrical activity of muscles and the function of the nerves that control them. Specifically, CPT® Code 95869 pertains to the evaluation of the thoracic paraspinal muscles, which are located alongside the spine in the thoracic region. This procedure excludes the assessment of the muscles at the T1 and T12 vertebral levels. During the EMG, a physician palpates the area of the thoracic spine where the patient is experiencing pain or other symptoms related to nerve or muscle dysfunction. An EMG electrode needle is then carefully inserted through the skin into the paravertebral gutter, which is the space adjacent to the vertebrae, and positioned within the targeted thoracic paravertebral muscles. The electrical activity of these muscles is recorded, allowing the physician to evaluate their function. Following the procedure, the physician analyzes the EMG recordings and compiles a written report detailing the findings, which can assist in diagnosing various neuromuscular conditions or injuries affecting the thoracic spine region.
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