CPT code 95971: Neurostimulator programming, simple spinal/peripheral nerve2026 Medicare rate & RVUs in South Dakota
Report this service when an implanted spinal cord or peripheral nerve neurostimulator is analyzed and its settings receive simple programming adjustments.
In South Dakota, Medicare pays $48.88 for 95971 in the office and $32.85 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 95971 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 95971 covers
Code 95971 describes analysis and simple programming of an implanted neurostimulator used for spinal cord or peripheral nerve stimulation. A clinician managing the device uses a programmer to review its operation and make simple setting adjustments. Common settings include pain-management clinics and follow-up visits for patients with implanted spinal cord stimulators for chronic pain or peripheral nerve stimulators.
Choose this code when the device stimulates the spinal cord or a peripheral nerve and programming is performed. Use 95970 when the device is analyzed without programming, and 95972 when programming is complex. Documentation should identify the device and stimulation site, the findings reviewed, the settings changed, and the patient's response. Do not report a no-change device check as programming. The CMS fee schedule assigns work, practice-expense, and malpractice values, with different practice-expense values for 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 South Dakota compares for 95971
Across 109 of 109 payment localities, the office rate for 95971 runs from $46.19 in Arkansas to $63.84 in Alaska. South Dakota pays $48.88. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$48.88
- Los Angeles, CA · California$54.75+$5.87
- Washington, DC area · District of Columbia$56.03+$7.15
- Miami, FL · Florida$54.91+$6.03
- Chicago, IL · Illinois$53.76+$4.88
- Manhattan, NY · New York$57.04+$8.16
- Alaska · Alaska$63.84+$14.96
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $46.67 | $32.64 |
| ArkansasArkansas | $46.19 | $32.42 |
| ArizonaArizona | $49.42 | $33.88 |
| Bakersfield, CACalifornia | $52.13 | $34.56 |
| Chico, CACalifornia | $51.91 | $34.34 |
| El Centro, CACalifornia | $51.92 | $34.35 |
| Fresno, CACalifornia | $51.91 | $34.34 |
| Hanford, CACalifornia | $51.91 | $34.34 |
| Madera, CACalifornia | $51.91 | $34.34 |
| Merced, CACalifornia | $51.91 | $34.34 |
| Modesto, CACalifornia | $51.91 | $34.34 |
| Napa, CACalifornia | $57.94 | $36.81 |
| Oxnard, CACalifornia | $54.30 | $35.35 |
| Redding, CACalifornia | $51.91 | $34.34 |
| Rest of CaliforniaCalifornia | $51.91 | $34.34 |
| Riverside, CACalifornia | $52.68 | $35.11 |
| Sacramento, CACalifornia | $53.88 | $35.24 |
| Salinas, CACalifornia | $53.66 | $35.08 |
| San Diego, CACalifornia | $54.47 | $35.29 |
| Marin County, CACalifornia | $60.68 | $38.08 |
| San Francisco, CACalifornia | $60.60 | $38.00 |
| San Benito County, CACalifornia | $61.96 | $38.84 |
| Santa Clara County, CACalifornia | $61.64 | $38.52 |
| San Luis Obispo, CACalifornia | $52.86 | $34.60 |
| Santa Cruz, CACalifornia | $54.64 | $35.16 |
| Santa Maria, CACalifornia | $53.74 | $35.05 |
| Santa Rosa, CACalifornia | $55.16 | $35.47 |
| Stockton, CACalifornia | $51.91 | $34.34 |
| Vallejo, CACalifornia | $57.82 | $36.69 |
| Visalia, CACalifornia | $51.91 | $34.34 |
| Yuba City, CACalifornia | $51.91 | $34.34 |
| ColoradoColorado | $51.65 | $34.59 |
| ConnecticutConnecticut | $53.14 | $35.88 |
| DelawareDelaware | $50.06 | $34.22 |
| Fort Lauderdale, FLFlorida | $52.61 | $36.37 |
| Rest of FloridaFlorida | $50.64 | $35.31 |
| Atlanta, GAGeorgia | $51.34 | $35.05 |
| Rest of GeorgiaGeorgia | $48.50 | $34.20 |
| Hawaii, Guam, HIHawaii | $52.47 | $34.24 |
| IowaIowa | $47.15 | $32.48 |
| IdahoIdaho | $47.44 | $32.69 |
| East St. Louis, ILIllinois | $51.04 | $36.29 |
| Rest of IllinoisIllinois | $49.83 | $35.20 |
| Suburban Chicago, ILIllinois | $53.02 | $36.55 |
| IndianaIndiana | $47.62 | $32.76 |
| KansasKansas | $47.16 | $32.67 |
| KentuckyKentucky | $47.79 | $33.54 |
| New Orleans, LALouisiana | $49.45 | $34.37 |
| Rest of LouisianaLouisiana | $47.80 | $33.61 |
| Metropolitan Boston, MAMassachusetts | $55.52 | $36.38 |
| Rest of MassachusettsMassachusetts | $51.55 | $34.66 |
| Baltimore area, MDMaryland | $53.02 | $35.81 |
| Rest of MarylandMaryland | $50.77 | $34.54 |
| Rest of MaineMaine | $47.79 | $33.04 |
| Southern Maine, MEMaine | $49.37 | $33.49 |
| Detroit, MIMichigan | $51.27 | $35.80 |
| Rest of MichiganMichigan | $48.82 | $34.18 |
| MinnesotaMinnesota | $49.43 | $32.93 |
| Metropolitan Kansas City, MOMissouri | $49.04 | $33.98 |
| Metropolitan St. Louis, MOMissouri | $49.38 | $34.12 |
| Rest of MissouriMissouri | $47.33 | $33.51 |
| MississippiMississippi | $46.76 | $32.96 |
| MontanaMontana | $50.43 | $34.40 |
| North CarolinaNorth Carolina | $48.11 | $33.16 |
| North DakotaNorth Dakota | $49.05 | $33.01 |
| NebraskaNebraska | $47.28 | $32.49 |
| New HampshireNew Hampshire | $51.05 | $34.36 |
| Northern New JerseyNew Jersey | $55.76 | $37.17 |
| Rest of New JerseyNew Jersey | $53.73 | $36.22 |
| New MexicoNew Mexico | $49.08 | $34.37 |
| NevadaNevada | $50.07 | $34.02 |
| NYC suburbs and Long Island, NYNew York | $58.27 | $39.21 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $54.19 | $36.64 |
| Queens, NYNew York | $57.15 | $38.20 |
| Rest of New YorkNew York | $48.64 | $33.41 |
| OhioOhio | $48.54 | $33.90 |
| OklahomaOklahoma | $47.56 | $33.24 |
| Portland, OROregon | $52.70 | $34.89 |
| Rest of OregonOregon | $49.65 | $33.68 |
| Metropolitan Philadelphia, PAPennsylvania | $52.26 | $35.57 |
| Rest of PennsylvaniaPennsylvania | $48.50 | $33.78 |
| Puerto RicoPuerto Rico | $50.64 | $34.43 |
| Rhode IslandRhode Island | $51.41 | $34.84 |
| South CarolinaSouth Carolina | $48.41 | $33.60 |
| TennesseeTennessee | $47.35 | $32.77 |
| Austin, TXTexas | $51.50 | $34.54 |
| Beaumont, TXTexas | $48.29 | $33.70 |
| Brazoria, TXTexas | $49.93 | $34.04 |
| Dallas, TXTexas | $50.25 | $34.28 |
| Fort Worth, TXTexas | $50.06 | $34.25 |
| Galveston, TXTexas | $50.09 | $34.17 |
| Houston, TXTexas | $51.37 | $35.45 |
| Rest of TexasTexas | $49.08 | $33.87 |
| UtahUtah | $48.87 | $33.80 |
| VirginiaVirginia | $49.37 | $33.61 |
| Virgin Islands, VIUnited States Virgin Islands | $50.64 | $34.43 |
| VermontVermont | $49.06 | $33.19 |
| Rest of WashingtonWashington | $51.38 | $34.50 |
| King County, WAWashington | $56.31 | $36.64 |
| WisconsinWisconsin | $47.89 | $32.53 |
| West VirginiaWest Virginia | $48.56 | $34.62 |
| WyomingWyoming | $49.83 | $33.80 |
95971 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$46.19
$63.84
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $63.84 | 1 |
| AL | $46.67 | 1 |
| AR | $46.19 | 1 |
| AZ | $49.42 | 1 |
| CA | $51.91–$61.96 | 29 |
| CO | $51.65 | 1 |
| CT | $53.14 | 1 |
| DC | $56.03 | 1 |
| DE | $50.06 | 1 |
| FL | $50.64–$54.91 | 3 |
| GA | $48.50–$51.34 | 2 |
| GU | $52.47 | 1 |
| HI | $52.47 | 1 |
| IA | $47.15 | 1 |
| ID | $47.44 | 1 |
| IL | $49.83–$53.76 | 4 |
| IN | $47.62 | 1 |
| KS | $47.16 | 1 |
| KY | $47.79 | 1 |
| LA | $47.80–$49.45 | 2 |
| MA | $51.55–$55.52 | 2 |
| MD | $50.77–$56.03 | 3 |
| ME | $47.79–$49.37 | 2 |
| MI | $48.82–$51.27 | 2 |
| MN | $49.43 | 1 |
| MO | $47.33–$49.38 | 3 |
| MS | $46.76 | 1 |
| MT | $50.43 | 1 |
| NC | $48.11 | 1 |
| ND | $49.05 | 1 |
| NE | $47.28 | 1 |
| NH | $51.05 | 1 |
| NJ | $53.73–$55.76 | 2 |
| NM | $49.08 | 1 |
| NV | $50.07 | 1 |
| NY | $48.64–$58.27 | 5 |
| OH | $48.54 | 1 |
| OK | $47.56 | 1 |
| OR | $49.65–$52.70 | 2 |
| PA | $48.50–$52.26 | 2 |
| PR | $50.64 | 1 |
| RI | $51.41 | 1 |
| SC | $48.41 | 1 |
| SD | $48.88 | 1 |
| TN | $47.35 | 1 |
| TX | $48.29–$51.50 | 8 |
| UT | $48.87 | 1 |
| VA | $49.37–$56.03 | 2 |
| VI | $50.64 | 1 |
| VT | $49.06 | 1 |
| WA | $51.38–$56.31 | 2 |
| WI | $47.89 | 1 |
| WV | $48.56 | 1 |
| WY | $49.83 | 1 |
How the 95971 rate is calculated
Each of 95971’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.
How the rate is built · 95971
RVUs × geographic indexes × conversion factor
Work0.78
0.78 RVUs× 1.000 GPCI
Practice expense0.66
0.66 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
1.5100
Conversion factor
$33.4009
Medicare rate
$50.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,726
- Code
- 95971
- Physician work
- 0.78
- Practice expense
- 0.66
- Malpractice
- 0.07
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 0.66 | × 1.000 | 0.6600 |
| Malpractice | 0.07 | × 0.336 | 0.0235 |
| Total RVUs | 1.4635 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$48.88
Office: (0.78 × 1 + 0.66 × 1 + 0.07 × 0.336) × $33.4009 = $48.88
Facility: (0.78 × 1 + 0.18 × 1 + 0.07 × 0.336) × $33.4009 = $32.85
Payment rules and modifiers for 95971
95971 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.
Place of service · 95971
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$50.44
- Non-facility (office)
- $50.44
- Facility
- $34.40
Higher because the practice carries its own overhead.
How 95971 has changed in South Dakota
95971 · Office / nonfacility
$48.88
Effective 2026-10-01
The base rate is $3.82 higher than on 2025-10-01, moving from $45.06 to $48.88 (8.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$45.06changed to$48.88
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.59 changed to 0.66
- Malpractice RVU 0.06 changed to 0.07
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$46.49changed to$45.06
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.07 changed to 0.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$45.74changed to$46.49
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$46.61changed to$45.74
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.57 changed to 0.59
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$48.03changed to$46.61
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.58 changed to 0.57
- Malpractice RVU 0.08 changed to 0.07
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$48.53changed to$48.03
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.59 changed to 0.58
- Malpractice RVU 0.06 changed to 0.08
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$50.14changed to$48.53
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.58 changed to 0.59
- Malpractice RVU 0.08 changed to 0.06
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$50.35changed to$50.14
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.59 changed to 0.58
- Malpractice RVU 0.07 changed to 0.08
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$50.66changed to$50.35
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.60 changed to 0.59
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$49.80changed to$50.66
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.58 changed to 0.60
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$49.34changed to$49.80
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.57 changed to 0.58
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$56.92changed to$49.34
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.78 changed to 0.57
- Malpractice RVU 0.06 changed to 0.07
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$56.64changed to$56.92
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$59.43changed to$56.64
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.85 changed to 0.78
- Malpractice RVU 0.07 changed to 0.06
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$58.87changed to$59.43
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.92 changed to 0.85
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $58.87
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $48.88 | $32.85 | RVU26D |
| 2026-07-01 | $48.88 | $32.85 | RVU26C |
| 2026-04-01 | $48.88 | $32.85 | RVU26B |
| 2026-01-01 | $48.88 | $32.85 | RVU26A |
| 2025-10-01 | $45.06 | $36.00 | RVU25D |
| 2025-07-01 | $45.06 | $36.00 | RVU25C |
| 2025-04-01 | $45.06 | $36.00 | RVU25B |
| 2025-01-01 | $45.06 | $36.00 | RVU25A |
| 2024-10-01 | $46.49 | $36.84 | RVU24D |
| 2024-07-01 | $46.49 | $36.84 | RVU24C |
| 2024-04-01 | $46.49 | $36.84 | RVU24B |
| 2024-03-09 | $46.49 | $36.84 | RVU24AR |
| 2024-01-01 | $45.74 | $36.24 | RVU24A |
| 2023-10-01 | $46.61 | $37.46 | RVU23D |
| 2023-07-01 | $46.61 | $37.46 | RVU23C |
| 2023-04-01 | $46.61 | $37.46 | RVU23B |
| 2023-01-01 | $46.61 | $37.46 | RVU23A |
| 2022-10-01 | $48.03 | $38.68 | RVU22D |
| 2022-07-01 | $48.03 | $38.68 | RVU22C |
| 2022-04-01 | $48.03 | $38.68 | RVU22B |
| 2022-01-01 | $48.03 | $38.68 | RVU22A |
| 2021-10-01 | $48.53 | $39.11 | RVU21D |
| 2021-07-01 | $48.53 | $39.11 | RVU21C |
| 2021-04-01 | $48.53 | $39.11 | RVU21B |
| 2021-01-01 | $48.53 | $39.11 | RVU21A |
| 2020-10-01 | $50.14 | $40.40 | RVU20D |
| 2020-07-01 | $50.14 | $40.40 | RVU20C |
| 2020-04-01 | $50.14 | $40.40 | RVU20B |
| 2020-01-01 | $50.14 | $40.40 | RVU20A |
| 2019-10-01 | $50.35 | $40.62 | RVU19D |
| 2019-07-01 | $50.35 | $40.62 | RVU19C |
| 2019-04-01 | $50.35 | $40.62 | RVU19B |
| 2019-01-01 | $50.35 | $40.62 | RVU19A |
| 2018-10-01 | $50.66 | $40.58 | RVU18D |
| 2018-07-01 | $50.66 | $40.58 | RVU18C |
| 2018-04-01 | $50.66 | $40.58 | RVU18B |
| 2018-01-01 | $50.66 | $40.58 | RVU18AR1 |
| 2017-10-01 | $49.80 | $40.11 | RVU17D |
| 2017-07-01 | $49.80 | $40.11 | RVU17C |
| 2017-04-01 | $49.80 | $40.11 | RVU17B |
| 2017-01-01 | $49.80 | $40.11 | RVU17A |
| 2016-10-01 | $49.34 | $40.03 | RVU16D |
| 2016-07-01 | $49.34 | $40.03 | RVU16C |
| 2016-04-01 | $49.34 | $40.03 | RVU16B |
| 2016-01-01 | $49.34 | $40.03 | RVU16A |
| 2015-10-01 | $56.92 | $40.03 | RVU15D |
| 2015-07-01 | $56.92 | $40.03 | RVU15C |
| 2015-04-01 | $56.64 | $39.83 | RVU15B |
| 2015-01-01 | $56.64 | $39.83 | RVU15A |
| 2014-10-01 | $59.43 | $40.09 | RVU14D |
| 2014-07-01 | $59.43 | $40.09 | RVU14C |
| 2014-04-01 | $59.43 | $40.09 | RVU14B |
| 2014-01-01 | $59.43 | $40.09 | RVU14A |
| 2013-10-01 | $58.87 | $38.45 | RVU13D |
| 2013-07-01 | $58.87 | $38.45 | RVU13C |
| 2013-04-01 | $58.87 | $38.45 | RVU13B |
| 2013-01-01 | $58.87 | $38.45 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
95971 billing questions
When should 95971 be used instead of 95970?
Use 95971 when simple programming adjustments are made to an implanted spinal cord or peripheral nerve neurostimulator. Use 95970 for device analysis without programming.
How is 95971 distinguished from 95972?
Both apply to spinal cord or peripheral nerve neurostimulators, but 95971 represents simple programming and 95972 represents complex programming. The record should support the level of programming performed.
Can 95970 be reported for the analysis during a 95971 service?
95971 includes analysis with programming. Do not separately report 95970 for the same device analysis performed as part of that programming service.
What documentation supports 95971?
Document the implanted device and stimulation site, the pre-adjustment assessment, the settings changed, and the patient's response. The note should support that programming was performed and was simple.
Does 95971 apply to an implanted vagus nerve stimulator?
No. For cranial nerve neurostimulator programming, the simple-programming code is 95976; 95971 is for spinal cord or peripheral nerve stimulation.
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
Show the CMS file lines behind this rate
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