CPT code 95977: Stimulator programming, cranial nerve, complex2026 Medicare rate & RVUs in Fort Worth, TX

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 Fort Worth, TX, Medicare pays $50.48 for 95977 in the office and $42.25 when it’s performed in a hospital or facility.

$50.48Office (non-facility)
$42.25Hospital or facility
−0.6%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $50.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

95977 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$50.48
  2. Austin, TX · Texas$51.48+$1.00
  3. Beaumont, TX · Texas$49.11−$1.37
  4. Brazoria, TX · Texas$50.29−$0.19
  5. Dallas, TX · Texas$50.61+$0.13
  6. Galveston, TX · Texas$50.45−$0.03
  7. Houston, TX · Texas$51.91+$1.43

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

Every other payment area

95977 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$49.68$41.75
Los Angeles, CACalifornia$54.17$44.29
Washington, DC areaDistrict of Columbia$55.70$45.86
Miami, FLFlorida$55.53$46.83
Chicago, ILIllinois$54.53$46.14
Manhattan, NYNew York$57.02$47.31
AlaskaAlaska$66.50$57.61
AlabamaAlabama$47.56$40.26

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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 95977 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work0.95× 1.0090.9585
Practice expense0.49× 0.9860.4831
Malpractice0.08× 0.8710.0697
Total RVUs1.5114
Conversion factor× 33.4009

Office rate, Fort Worth, TX$50.48

Office: (0.95 × 1.009 + 0.49 × 0.986 + 0.08 × 0.871) × $33.4009 = $50.48

Facility: (0.95 × 1.009 + 0.24 × 0.986 + 0.08 × 0.871) × $33.4009 = $42.25

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 Fort Worth, TX

95977 · Office / nonfacility

$50.48

Effective 2026-10-01

The base rate is $1.58 higher than on 2025-10-01, moving from $48.90 to $50.48 (3.2%).

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

    $48.90changed to$50.48

    • 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 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $51.92changed to$48.90

    • 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

    $51.08changed to$51.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $52.28changed to$51.08

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902
  5. January 1, 2023

    RVU23A

    $53.19changed to$52.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.50 changed to 0.49
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $53.63changed to$53.19

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $54.65changed to$53.63

    • 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
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $54.68changed to$54.65

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    No ratechanged to$54.68

    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$50.48$42.25RVU26D
2026-07-01$50.48$42.25RVU26C
2026-04-01$50.48$42.25RVU26B
2026-01-01$50.48$42.25RVU26A
2025-10-01$48.90$48.26RVU25D
2025-07-01$48.90$48.26RVU25C
2025-04-01$48.90$48.26RVU25B
2025-01-01$48.90$48.26RVU25A
2024-10-01$51.92$50.93RVU24D
2024-07-01$51.92$50.93RVU24C
2024-04-01$51.92$50.93RVU24B
2024-03-09$51.92$50.93RVU24AR
2024-01-01$51.08$50.10RVU24A
2023-10-01$52.28$51.60RVU23D
2023-07-01$52.28$51.60RVU23C
2023-04-01$52.28$51.60RVU23B
2023-01-01$52.28$51.60RVU23A
2022-10-01$53.19$52.15RVU22D
2022-07-01$53.19$52.15RVU22C
2022-04-01$53.19$52.15RVU22B
2022-01-01$53.19$52.15RVU22A
2021-10-01$53.63$52.59RVU21D
2021-07-01$53.63$52.59RVU21C
2021-04-01$53.63$52.59RVU21B
2021-01-01$53.63$52.59RVU21A
2020-10-01$54.65$53.93RVU20D
2020-07-01$54.65$53.93RVU20C
2020-04-01$54.65$53.93RVU20B
2020-01-01$54.65$53.93RVU20A
2019-10-01$54.68$53.97RVU19D
2019-07-01$54.68$53.97RVU19C
2019-04-01$54.68$53.97RVU19B
2019-01-01$54.68$53.97RVU19A
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 Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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