CPT code 95977: Stimulator programming, cranial nerve, complex2026 Medicare rate & RVUs in Detroit, MI

Reports complex programming of an implanted cranial nerve neurostimulator, such as a vagus nerve stimulator, when more than three parameters are programmed.

CMS RVU26DEffective Oct 1, 2026One payment locality8.8K Medicare services in 2024

In Detroit, MI, Medicare pays $52.03 for 95977 in the office and $43.97 when it’s performed in a hospital or facility.

$52.03Office (non-facility)
$43.97Hospital or facility
+2.5%vs the national office rate ($50.77)

Check a contract rate as a % of Medicare · 95977 nationwide

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

We’ll open 95977 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Detroit, MI
  2. What 95977 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95977 covers

This service covers analysis and programming of an implanted cranial nerve neurostimulator, most commonly a vagus nerve stimulator used in epilepsy care. During a device-management visit, a neurologist, epileptologist, neurosurgeon, or other qualified clinician may interrogate the system, assess its function, and adjust stimulation settings using the device programmer. The service is performed in settings where the patient’s implanted system can be evaluated and programmed, including an outpatient clinic.

Choose this code when the clinician programs more than three parameters; the parameter count, not a subjective impression of difficulty, distinguishes complex from simple cranial nerve programming. The record should identify the device and document its evaluation, the programmed parameters and changes, and the clinical reason for adjustment. CMS assigns physician-work and practice-expense values to the service, with distinct office and facility practice-expense inputs.

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 Detroit, MI compares for 95977

Across 109 of 109 payment localities, the office rate for 95977 runs from $47.17 in Arkansas to $66.50 in Alaska. Detroit, MI pays $52.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

95977 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$52.03
  2. Rest of Michigan · Michigan$49.69−$2.34
  3. Los Angeles, CA · California$54.17+$2.14
  4. Washington, DC area · District of Columbia$55.70+$3.67
  5. Miami, FL · Florida$55.53+$3.50
  6. Chicago, IL · Illinois$54.53+$2.50
  7. Manhattan, NY · New York$57.02+$4.99

Other areas in Michigan first, then benchmark localities. Bars start at $0.

Every other payment area

95977 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$66.50$57.61
AlabamaAlabama$47.56$40.26
ArkansasArkansas$47.17$39.99
ArizonaArizona$49.88$41.79
Bakersfield, CACalifornia$51.90$42.75
Chico, CACalifornia$51.64$42.49
El Centro, CACalifornia$51.65$42.50
Fresno, CACalifornia$51.64$42.49

95977 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.

$47.17

$66.50

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95977 office rate range by state
State / territoryOffice rate rangeLocalities
AK$66.501
AL$47.561
AR$47.171
AZ$49.881
CA$51.64–$60.2529
CO$51.611
CT$53.231
DC$55.701
DE$50.461
FL$51.39–$55.533
GA$49.51–$51.662
GU$51.891
HI$51.891
IA$47.771
ID$48.051
IL$50.85–$54.534
IN$48.201
KS$47.871
KY$48.731
LA$48.78–$50.172
MA$51.60–$54.952
MD$51.06–$55.703
ME$48.45–$49.642
MI$49.69–$52.032
MN$49.361
MO$48.44–$49.993
MS$47.801
MT$50.761
NC$48.711
ND$49.181
NE$47.851
NH$51.111
NJ$53.80–$55.572
NM$49.951
NV$50.341
NY$49.16–$58.185
OH$49.371
OK$48.421
OR$49.91–$52.412
PA$49.28–$52.532
PR$50.911
RI$51.621
SC$49.121
SD$49.001
TN$48.041
TX$49.11–$51.918
UT$49.511
VA$49.71–$55.702
VI$50.911
VT$49.291
WA$51.41–$55.582
WI$48.231
WV$49.781
WY$50.071

See 95977 in every payment locality

How the 95977 rate is calculated

Each of 95977’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 · 95977

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.95

0.95 RVUs× 1.000 GPCI

Practice expense0.49

0.49 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

1.5200

Conversion factor

$33.4009

Medicare rate

$50.77

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Detroit, MI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,729

Code
95977
Physician work
0.95
Practice expense
0.49
Malpractice
0.08

GPCI2026.csv

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 95977 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work0.95× 1.0000.9500
Practice expense0.49× 0.9650.4728
Malpractice0.08× 1.6860.1349
Total RVUs1.5577
Conversion factor× 33.4009

Office rate, Detroit, MI$52.03

Office: (0.95 × 1 + 0.49 × 0.965 + 0.08 × 1.686) × $33.4009 = $52.03

Facility: (0.95 × 1 + 0.24 × 0.965 + 0.08 × 1.686) × $33.4009 = $43.97

Open 95977 in the RVU calculator

Payment rules and modifiers for 95977

95977 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 · 95977

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$50.77

Non-facility (office)
$50.77
Facility
$42.42

Higher because the practice carries its own overhead.

How 95977 has changed in Detroit, MI

95977 · Office / nonfacility

$52.03

Effective 2026-10-01

The base rate is $1.44 higher than on 2025-10-01, moving from $50.59 to $52.03 (2.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $50.59changed to$52.03

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.97 changed to 0.95
    • Practice expense RVU 0.46 changed to 0.49
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $54.19changed to$50.59

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.49 changed to 0.46
    • Malpractice RVU 0.10 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $53.30changed to$54.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $55.00changed to$53.30

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718
  5. January 1, 2023

    RVU23A

    $56.43changed to$55.00

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.50 changed to 0.49
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $56.90changed to$56.43

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $57.59changed to$56.90

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.48 changed to 0.50
    • Malpractice RVU 0.09 changed to 0.10
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $57.55changed to$57.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$57.55

    Held through RVU19B, RVU19C, RVU19D.

  10. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$52.03$43.97RVU26D
2026-07-01$52.03$43.97RVU26C
2026-04-01$52.03$43.97RVU26B
2026-01-01$52.03$43.97RVU26A
2025-10-01$50.59$49.95RVU25D
2025-07-01$50.59$49.95RVU25C
2025-04-01$50.59$49.95RVU25B
2025-01-01$50.59$49.95RVU25A
2024-10-01$54.19$53.20RVU24D
2024-07-01$54.19$53.20RVU24C
2024-04-01$54.19$53.20RVU24B
2024-03-09$54.19$53.20RVU24AR
2024-01-01$53.30$52.33RVU24A
2023-10-01$55.00$54.33RVU23D
2023-07-01$55.00$54.33RVU23C
2023-04-01$55.00$54.33RVU23B
2023-01-01$55.00$54.33RVU23A
2022-10-01$56.43$55.40RVU22D
2022-07-01$56.43$55.40RVU22C
2022-04-01$56.43$55.40RVU22B
2022-01-01$56.43$55.40RVU22A
2021-10-01$56.90$55.86RVU21D
2021-07-01$56.90$55.86RVU21C
2021-04-01$56.90$55.86RVU21B
2021-01-01$56.90$55.86RVU21A
2020-10-01$57.59$56.87RVU20D
2020-07-01$57.59$56.87RVU20C
2020-04-01$57.59$56.87RVU20B
2020-01-01$57.59$56.87RVU20A
2019-10-01$57.55$56.84RVU19D
2019-07-01$57.55$56.84RVU19C
2019-04-01$57.55$56.84RVU19B
2019-01-01$57.55$56.84RVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 95977 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

95977 billing questions

How does this differ from 95976?

Use 95977 when more than three parameters are programmed for a cranial nerve neurostimulator. Code 95976 is for programming one to three parameters.

Can this code be used for a spinal cord stimulator?

No. This code is for a cranial nerve neurostimulator, such as a vagus nerve stimulator. The corresponding complex programming code for a spinal cord or peripheral nerve system is 95972.

Does device interrogation without a setting change qualify?

This code describes programming, not analysis alone. For implanted neurostimulator analysis without programming, consider 95970 when its service description fits.

Is the code selected by visit length?

No. The simple-versus-complex distinction is based on the number of parameters programmed, with more than three supporting 95977. Document the parameter count and changes.

What should the note include?

Document the cranial nerve device, its evaluation, the parameters programmed and their resulting settings, and why the adjustment was made.

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
RVUs for 95977PPRRVU2026_Oct_nonQPP.csv, line 12,729 (RVU26D)
Geographic factors for Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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