CPT code 95976: Stimulator programming, cranial nerve, simple2026 Medicare rate & RVUs in South Dakota
Report simple programming of an implanted cranial nerve neurostimulator, commonly a vagus nerve stimulator adjusted during epilepsy care.
In South Dakota, Medicare pays $36.75 for 95976 in the office and $30.40 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 95976 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 95976 covers
Code 95976 covers a programming visit for an implanted cranial nerve neurostimulator, most commonly a vagus nerve stimulator used to manage epilepsy. The clinician interrogates the pulse generator, reviews device function and settings, and makes a simple adjustment to the stimulation program. Neurologists and epileptologists commonly perform this work in an outpatient neurology or epilepsy clinic; programming may also occur in a hospital setting when clinically needed.
Report 95976 when simple programming is performed on a cranial nerve device. Documentation should identify the device, the programming performed, settings assessed or changed, and the clinical reason for adjustment. The analysis needed to carry out programming is part of this service, rather than a separate 95970 line for the same work. Use 95970 when the device is analyzed without programming, and 95977 for complex cranial nerve programming. CMS assigns work, practice-expense, and malpractice RVUs to the service.
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 95976
Across 109 of 109 payment localities, the office rate for 95976 runs from $35.36 in Arkansas to $49.84 in Alaska. South Dakota pays $36.75. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$36.75
- Los Angeles, CA · California$40.64+$3.89
- Washington, DC area · District of Columbia$41.78+$5.03
- Miami, FL · Florida$41.65+$4.90
- Chicago, IL · Illinois$40.90+$4.15
- Manhattan, NY · New York$42.77+$6.02
- Alaska · Alaska$49.84+$13.09
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $35.66 | $30.11 |
| ArkansasArkansas | $35.36 | $29.91 |
| ArizonaArizona | $37.41 | $31.26 |
| Bakersfield, CACalifornia | $38.93 | $31.98 |
| Chico, CACalifornia | $38.74 | $31.78 |
| El Centro, CACalifornia | $38.75 | $31.79 |
| Fresno, CACalifornia | $38.74 | $31.78 |
| Hanford, CACalifornia | $38.74 | $31.78 |
| Madera, CACalifornia | $38.74 | $31.78 |
| Merced, CACalifornia | $38.74 | $31.78 |
| Modesto, CACalifornia | $38.74 | $31.78 |
| Napa, CACalifornia | $42.52 | $34.15 |
| Oxnard, CACalifornia | $40.23 | $32.73 |
| Redding, CACalifornia | $38.74 | $31.78 |
| Rest of CaliforniaCalifornia | $38.74 | $31.78 |
| Riverside, CACalifornia | $39.40 | $32.44 |
| Sacramento, CACalifornia | $40.02 | $32.63 |
| Salinas, CACalifornia | $39.85 | $32.49 |
| San Diego, CACalifornia | $40.29 | $32.70 |
| Marin County, CACalifornia | $44.31 | $35.36 |
| San Francisco, CACalifornia | $44.24 | $35.30 |
| San Benito County, CACalifornia | $45.22 | $36.07 |
| Santa Clara County, CACalifornia | $44.94 | $35.79 |
| San Luis Obispo, CACalifornia | $39.27 | $32.04 |
| Santa Cruz, CACalifornia | $40.30 | $32.59 |
| Santa Maria, CACalifornia | $39.86 | $32.46 |
| Santa Rosa, CACalifornia | $40.68 | $32.88 |
| Stockton, CACalifornia | $38.74 | $31.78 |
| Vallejo, CACalifornia | $42.42 | $34.05 |
| Visalia, CACalifornia | $38.74 | $31.78 |
| Yuba City, CACalifornia | $38.74 | $31.78 |
| ColoradoColorado | $38.71 | $31.96 |
| ConnecticutConnecticut | $39.92 | $33.09 |
| DelawareDelaware | $37.84 | $31.57 |
| Fort Lauderdale, FLFlorida | $39.86 | $33.43 |
| Rest of FloridaFlorida | $38.54 | $32.47 |
| Atlanta, GAGeorgia | $38.75 | $32.30 |
| Rest of GeorgiaGeorgia | $37.13 | $31.47 |
| Hawaii, Guam, HIHawaii | $38.93 | $31.71 |
| IowaIowa | $35.82 | $30.01 |
| IdahoIdaho | $36.03 | $30.19 |
| East St. Louis, ILIllinois | $39.12 | $33.28 |
| Rest of IllinoisIllinois | $38.13 | $32.34 |
| Suburban Chicago, ILIllinois | $40.12 | $33.61 |
| IndianaIndiana | $36.14 | $30.26 |
| KansasKansas | $35.90 | $30.16 |
| KentuckyKentucky | $36.53 | $30.89 |
| New Orleans, LALouisiana | $37.62 | $31.65 |
| Rest of LouisianaLouisiana | $36.57 | $30.96 |
| Metropolitan Boston, MAMassachusetts | $41.23 | $33.65 |
| Rest of MassachusettsMassachusetts | $38.70 | $32.02 |
| Baltimore area, MDMaryland | $39.83 | $33.02 |
| Rest of MarylandMaryland | $38.30 | $31.88 |
| Rest of MaineMaine | $36.33 | $30.49 |
| Southern Maine, MEMaine | $37.23 | $30.94 |
| Detroit, MIMichigan | $39.02 | $32.90 |
| Rest of MichiganMichigan | $37.26 | $31.47 |
| MinnesotaMinnesota | $37.02 | $30.49 |
| Metropolitan Kansas City, MOMissouri | $37.28 | $31.32 |
| Metropolitan St. Louis, MOMissouri | $37.49 | $31.45 |
| Rest of MissouriMissouri | $36.32 | $30.85 |
| MississippiMississippi | $35.84 | $30.37 |
| MontanaMontana | $38.07 | $31.73 |
| North CarolinaNorth Carolina | $36.53 | $30.60 |
| North DakotaNorth Dakota | $36.89 | $30.54 |
| NebraskaNebraska | $35.88 | $30.02 |
| New HampshireNew Hampshire | $38.33 | $31.73 |
| Northern New JerseyNew Jersey | $41.68 | $34.32 |
| Rest of New JerseyNew Jersey | $40.36 | $33.43 |
| New MexicoNew Mexico | $37.45 | $31.63 |
| NevadaNevada | $37.75 | $31.40 |
| NYC suburbs and Long Island, NYNew York | $43.65 | $36.10 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $40.74 | $33.79 |
| Queens, NYNew York | $42.73 | $35.23 |
| Rest of New YorkNew York | $36.86 | $30.84 |
| OhioOhio | $37.02 | $31.22 |
| OklahomaOklahoma | $36.31 | $30.64 |
| Portland, OROregon | $39.32 | $32.26 |
| Rest of OregonOregon | $37.43 | $31.11 |
| Metropolitan Philadelphia, PAPennsylvania | $39.40 | $32.79 |
| Rest of PennsylvaniaPennsylvania | $36.95 | $31.13 |
| Puerto RicoPuerto Rico | $38.18 | $31.77 |
| Rhode IslandRhode Island | $38.72 | $32.16 |
| South CarolinaSouth Carolina | $36.84 | $30.97 |
| TennesseeTennessee | $36.02 | $30.26 |
| Austin, TXTexas | $38.61 | $31.90 |
| Beaumont, TXTexas | $36.82 | $31.05 |
| Brazoria, TXTexas | $37.71 | $31.43 |
| Dallas, TXTexas | $37.96 | $31.64 |
| Fort Worth, TXTexas | $37.86 | $31.60 |
| Galveston, TXTexas | $37.84 | $31.53 |
| Houston, TXTexas | $38.93 | $32.63 |
| Rest of TexasTexas | $37.25 | $31.23 |
| UtahUtah | $37.13 | $31.17 |
| VirginiaVirginia | $37.28 | $31.04 |
| Virgin Islands, VIUnited States Virgin Islands | $38.18 | $31.77 |
| VermontVermont | $36.96 | $30.68 |
| Rest of WashingtonWashington | $38.56 | $31.88 |
| King County, WAWashington | $41.70 | $33.91 |
| WisconsinWisconsin | $36.17 | $30.09 |
| West VirginiaWest Virginia | $37.32 | $31.81 |
| WyomingWyoming | $37.56 | $31.21 |
95976 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.
$35.36
$49.84
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 | $49.84 | 1 |
| AL | $35.66 | 1 |
| AR | $35.36 | 1 |
| AZ | $37.41 | 1 |
| CA | $38.74–$45.22 | 29 |
| CO | $38.71 | 1 |
| CT | $39.92 | 1 |
| DC | $41.78 | 1 |
| DE | $37.84 | 1 |
| FL | $38.54–$41.65 | 3 |
| GA | $37.13–$38.75 | 2 |
| GU | $38.93 | 1 |
| HI | $38.93 | 1 |
| IA | $35.82 | 1 |
| ID | $36.03 | 1 |
| IL | $38.13–$40.90 | 4 |
| IN | $36.14 | 1 |
| KS | $35.90 | 1 |
| KY | $36.53 | 1 |
| LA | $36.57–$37.62 | 2 |
| MA | $38.70–$41.23 | 2 |
| MD | $38.30–$41.78 | 3 |
| ME | $36.33–$37.23 | 2 |
| MI | $37.26–$39.02 | 2 |
| MN | $37.02 | 1 |
| MO | $36.32–$37.49 | 3 |
| MS | $35.84 | 1 |
| MT | $38.07 | 1 |
| NC | $36.53 | 1 |
| ND | $36.89 | 1 |
| NE | $35.88 | 1 |
| NH | $38.33 | 1 |
| NJ | $40.36–$41.68 | 2 |
| NM | $37.45 | 1 |
| NV | $37.75 | 1 |
| NY | $36.86–$43.65 | 5 |
| OH | $37.02 | 1 |
| OK | $36.31 | 1 |
| OR | $37.43–$39.32 | 2 |
| PA | $36.95–$39.40 | 2 |
| PR | $38.18 | 1 |
| RI | $38.72 | 1 |
| SC | $36.84 | 1 |
| SD | $36.75 | 1 |
| TN | $36.02 | 1 |
| TX | $36.82–$38.93 | 8 |
| UT | $37.13 | 1 |
| VA | $37.28–$41.78 | 2 |
| VI | $38.18 | 1 |
| VT | $36.96 | 1 |
| WA | $38.56–$41.70 | 2 |
| WI | $36.17 | 1 |
| WV | $37.32 | 1 |
| WY | $37.56 | 1 |
How the 95976 rate is calculated
Each of 95976’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 · 95976
RVUs × geographic indexes × conversion factor
Work0.71
0.71 RVUs× 1.000 GPCI
Practice expense0.37
0.37 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
1.1400
Conversion factor
$33.4009
Medicare rate
$38.08
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
12,728
- Code
- 95976
- Physician work
- 0.71
- Practice expense
- 0.37
- Malpractice
- 0.06
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.71 | × 1.000 | 0.7100 |
| Practice expense | 0.37 | × 1.000 | 0.3700 |
| Malpractice | 0.06 | × 0.336 | 0.0202 |
| Total RVUs | 1.1002 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$36.75
Office: (0.71 × 1 + 0.37 × 1 + 0.06 × 0.336) × $33.4009 = $36.75
Facility: (0.71 × 1 + 0.18 × 1 + 0.06 × 0.336) × $33.4009 = $30.40
Payment rules and modifiers for 95976
95976 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 · 95976
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$38.08
- Non-facility (office)
- $38.08
- Facility
- $31.73
Higher because the practice carries its own overhead.
How 95976 has changed in South Dakota
95976 · Office / nonfacility
$36.75
Effective 2026-10-01
The base rate is $1.20 higher than on 2025-10-01, moving from $35.55 to $36.75 (3.4%).
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
$35.55changed to$36.75
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.73 changed to 0.71
- Practice expense RVU 0.35 changed to 0.37
- Malpractice RVU 0.05 changed to 0.06
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$37.51changed to$35.55
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.37 changed to 0.35
- Malpractice RVU 0.07 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$36.89changed to$37.51
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$38.48changed to$36.89
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.38 changed to 0.37
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$39.37changed to$38.48
- Conversion factor 34.6062 changed to 33.8872
- 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
$39.46changed to$39.37
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.06 changed to 0.08
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$40.76changed to$39.46
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.37 changed to 0.38
- 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
$40.26changed to$40.76
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.36 changed to 0.37
- 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
No ratechanged to$40.26
Held through RVU19B, RVU19C, RVU19D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $36.75 | $30.40 | RVU26D |
| 2026-07-01 | $36.75 | $30.40 | RVU26C |
| 2026-04-01 | $36.75 | $30.40 | RVU26B |
| 2026-01-01 | $36.75 | $30.40 | RVU26A |
| 2025-10-01 | $35.55 | $34.91 | RVU25D |
| 2025-07-01 | $35.55 | $34.91 | RVU25C |
| 2025-04-01 | $35.55 | $34.91 | RVU25B |
| 2025-01-01 | $35.55 | $34.91 | RVU25A |
| 2024-10-01 | $37.51 | $36.84 | RVU24D |
| 2024-07-01 | $37.51 | $36.84 | RVU24C |
| 2024-04-01 | $37.51 | $36.84 | RVU24B |
| 2024-03-09 | $37.51 | $36.84 | RVU24AR |
| 2024-01-01 | $36.89 | $36.24 | RVU24A |
| 2023-10-01 | $38.48 | $37.46 | RVU23D |
| 2023-07-01 | $38.48 | $37.46 | RVU23C |
| 2023-04-01 | $38.48 | $37.46 | RVU23B |
| 2023-01-01 | $38.48 | $37.46 | RVU23A |
| 2022-10-01 | $39.37 | $38.68 | RVU22D |
| 2022-07-01 | $39.37 | $38.68 | RVU22C |
| 2022-04-01 | $39.37 | $38.68 | RVU22B |
| 2022-01-01 | $39.37 | $38.68 | RVU22A |
| 2021-10-01 | $39.46 | $38.76 | RVU21D |
| 2021-07-01 | $39.46 | $38.76 | RVU21C |
| 2021-04-01 | $39.46 | $38.76 | RVU21B |
| 2021-01-01 | $39.46 | $38.76 | RVU21A |
| 2020-10-01 | $40.76 | $40.04 | RVU20D |
| 2020-07-01 | $40.76 | $40.04 | RVU20C |
| 2020-04-01 | $40.76 | $40.04 | RVU20B |
| 2020-01-01 | $40.76 | $40.04 | RVU20A |
| 2019-10-01 | $40.26 | $39.54 | RVU19D |
| 2019-07-01 | $40.26 | $39.54 | RVU19C |
| 2019-04-01 | $40.26 | $39.54 | RVU19B |
| 2019-01-01 | $40.26 | $39.54 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | 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
95976 billing questions
How does 95976 differ from 95977?
Both describe programming of a cranial nerve neurostimulator. Select 95976 for simple programming and 95977 when the documented programming meets the complex level.
Can 95970 also be reported for the same programming session?
The analysis needed to perform the programming is included in 95976. Do not report 95970 separately for that same analysis work.
Which device is most commonly associated with 95976?
A vagus nerve stimulator used in epilepsy care is a common example. The code is for programming a cranial nerve neurostimulator, not a spinal or peripheral nerve stimulator.
Is 95976 based on programming time or individual settings?
It is not described as a timed service or as a per-setting code. Document the programming performed and report the applicable service level.
What documentation supports reporting 95976?
Document the implanted cranial nerve device, the reason for the visit, device assessment, and the programming changes or other programming work performed.
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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Your codes at your locality, with payer contracts beside Medicare.
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