CPT code 95970: Neurostimulator analysis, without programming2026 Medicare rate & RVUs in Los Angeles, CA

In Los Angeles, CA, Medicare pays $21.13 for 95970 in the office and $16.79 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 95970 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 95970 covers

CPT 95970 captures electronic interrogation of an implanted neurostimulator pulse generator for a spinal cord or peripheral nerve system when the visit assesses device operation without changing its programmed settings. The clinician reviews available device information, such as operating status, stored diagnostics, or battery status, and evaluates system function. This service commonly occurs during follow-up for patients with implanted spinal cord stimulation for chronic pain or peripheral nerve stimulation, in pain medicine, neurology, or neurosurgery settings. It concerns the implanted generator system, rather than EEG or intraoperative neurophysiologic monitoring.

Report the code when documentation supports device analysis without programming. Identify the implanted system and its site, describe the analysis performed and findings, and distinguish interrogation from parameter changes. If stimulation parameters are adjusted, choose the applicable with-programming code based on device type and service complexity. CMS valuation includes physician work, practice expense, and malpractice; practice-expense values differ between office and facility settings.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Los Angeles, CA compares for 95970

Across 109 of 109 payment localities, the office rate for 95970 runs from $18.23 in Arkansas to $25.56 in Alaska. Los Angeles, CA pays $21.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

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95970 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 95970 in every payment locality

How the 95970 rate is calculated

Each of 95970’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 95970

95970 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 95970

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 95970 has changed in Los Angeles, CA

Price 95970 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Anaheim
• Long Beach
• Los Angeles
• Orange
• Acton
• Agoura Hills
• Agua Dulce
• Alhambra

Browse all communities in California

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates