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CPT code 95984: Brain stimulator programming, each additional 15 minutes2026 Medicare rate & RVUs in Puerto Rico

Reports each additional 15 minutes of programming an implanted brain neurostimulator, such as a deep brain stimulation system, beyond the initial service.

CMS RVU26DEffective Oct 1, 2026One payment locality51.6K Medicare services in 2024

In Puerto Rico, Medicare pays $45.23 for 95984 in the office and $37.13 when it’s performed in a hospital or facility.

$45.23Office (non-facility)
$37.13Hospital or facility
+0.3%vs the national office rate ($45.09)

Check a contract rate as a % of Medicare · 95984 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 95984 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 95984 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 95984 covers

This add-on captures additional time spent programming an implanted brain neurostimulator after the initial programming interval. A neurologist, neurosurgeon, or other qualified clinician may adjust settings for a patient with deep brain stimulation for Parkinson disease, essential tremor, or dystonia. Programming may involve changing stimulation parameters in response to symptoms, side effects, or device performance during a clinic visit.

Report 95984 for each additional 15-minute interval beyond the initial interval represented by 95983. The record should support the device being programmed, the clinical reason for adjustment, the settings or parameters changed, and the additional time. Medicare treats 95984 as an add-on: it must be billed with its primary code, 95983, and payment falls within that procedure's global period. Do not use it for analysis without programming or for programming a neurostimulator at a different body site.

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 Puerto Rico compares for 95984

Across 109 of 109 payment localities, the office rate for 95984 runs from $41.70 in Arkansas to $58.44 in Alaska. Puerto Rico pays $45.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

95984 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$45.23
  2. Los Angeles, CA · California$48.34+$3.11
  3. Washington, DC area · District of Columbia$49.65+$4.42
  4. Miami, FL · Florida$49.32+$4.09
  5. Chicago, IL · Illinois$48.39+$3.16
  6. Manhattan, NY · New York$50.77+$5.54
  7. Alaska · Alaska$58.44+$13.21

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

Every other payment area

95984 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$42.07$35.06
ArkansasArkansas$41.70$34.81
ArizonaArizona$44.26$36.49
Bakersfield, CACalifornia$46.22$37.44
Chico, CACalifornia$46.00$37.21
El Centro, CACalifornia$46.01$37.23
Fresno, CACalifornia$46.00$37.21
Hanford, CACalifornia$46.00$37.21

95984 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$41.70

$58.44

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

View every state and territory as a table
95984 office rate range by state
State / territoryOffice rate rangeLocalities
AK$58.441
AL$42.071
AR$41.701
AZ$44.261
CA$46.00–$54.0329
CO$45.931
CT$47.351
DC$49.651
DE$44.801
FL$45.56–$49.323
GA$43.81–$45.902
GU$46.301
HI$46.301
IA$42.321
ID$42.581
IL$45.01–$48.394
IN$42.721
KS$42.391
KY$43.111
LA$43.15–$44.462
MA$45.89–$49.042
MD$45.36–$49.653
ME$42.92–$44.082
MI$44.00–$46.132
MN$43.911
MO$42.82–$44.333
MS$42.251
MT$45.091
NC$43.171
ND$43.701
NE$42.401
NH$45.461
NJ$47.86–$49.502
NM$44.231
NV$44.721
NY$43.60–$51.845
OH$43.721
OK$42.851
OR$44.33–$46.702
PA$43.65–$46.682
PR$45.231
RI$45.881
SC$43.521
SD$43.541
TN$42.551
TX$43.48–$46.078
UT$43.891
VA$44.13–$49.652
VI$45.231
VT$43.781
WA$45.73–$49.642
WI$42.801
WV$44.001
WY$44.481

See 95984 in every payment locality

How the 95984 rate is calculated

Each of 95984’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 · 95984

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.80

0.80 RVUs× 1.000 GPCI

Practice expense0.48

0.48 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.3500

Conversion factor

$33.4009

Medicare rate

$45.09

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,734

Code
95984
Physician work
0.80
Practice expense
0.48
Malpractice
0.07

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 95984 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.80× 1.0000.8000
Practice expense0.48× 1.0110.4853
Malpractice0.07× 0.9850.0690
Total RVUs1.3542
Conversion factor× 33.4009

Office rate, Puerto Rico$45.23

Office: (0.8 × 1 + 0.48 × 1.011 + 0.07 × 0.985) × $33.4009 = $45.23

Facility: (0.8 × 1 + 0.24 × 1.011 + 0.07 × 0.985) × $33.4009 = $37.13

Open 95984 in the RVU calculator

Payment rules and modifiers for 95984

The CMS indicators that decide how 95984 is paid alongside other services.

CMS payment indicators · 95984

Brain stimulator programming, each additional 15 minutes

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 95984

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

Codes related to 95984
CodeHow it relatesOffice range, Puerto Rico
Add-on codes
95983Brain stimulator programming, initial 15 minutesPrimary brain neurostimulator programming code; 95984 reports each additional 15-minute interval.$51.94
Used instead
95970Neurostimulator analysis, without programmingFor implanted neurostimulator analysis without programming.$19.77
95976Stimulator programming, cranial nerve, simpleProgramming code for a cranial nerve neurostimulator rather than a brain system.$38.18
95971Neurostimulator programming, simple spinal/peripheral nerveProgramming code for a simple spinal or peripheral neurostimulator.$50.64
Same family
95977Stimulator programming, cranial nerve, complexHigher-complexity cranial nerve neurostimulator programming sibling.$50.91

How 95984 has changed in Puerto Rico

95984 · Office / nonfacility

$45.23

Effective 2026-10-01

The base rate is $3.45 higher than on 2025-10-01, moving from $41.78 to $45.23 (8.3%).

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

    $41.78changed to$45.23

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.42 changed to 0.48
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $43.32changed to$41.78

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $42.62changed to$43.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $43.78changed to$42.62

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.41 changed to 0.42
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $43.71changed to$43.78

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $45.41changed to$43.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.42 changed to 0.41
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $45.43changed to$45.41

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.41 changed to 0.42

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $46.63changed to$45.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.40 changed to 0.41
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $45.84changed to$46.63

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.39 changed to 0.40
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    No ratechanged to$45.84

    Held through RVU19B, RVU19C, RVU19D.

  11. 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$45.23$37.13RVU26D
2026-07-01$45.23$37.13RVU26C
2026-04-01$45.23$37.13RVU26B
2026-01-01$45.23$37.13RVU26A
2025-10-01$41.78$41.46RVU25D
2025-07-01$41.78$41.46RVU25C
2025-04-01$41.78$41.46RVU25B
2025-01-01$41.78$41.46RVU25A
2024-10-01$43.32$42.65RVU24D
2024-07-01$43.32$42.65RVU24C
2024-04-01$43.32$42.65RVU24B
2024-03-09$43.32$42.65RVU24AR
2024-01-01$42.62$41.96RVU24A
2023-10-01$43.78$43.44RVU23D
2023-07-01$43.71$43.38RVU23C
2023-04-01$43.71$43.38RVU23B
2023-01-01$43.71$43.38RVU23A
2022-10-01$45.41$44.71RVU22D
2022-07-01$45.41$44.71RVU22C
2022-04-01$45.41$44.71RVU22B
2022-01-01$45.41$44.71RVU22A
2021-10-01$45.43$45.08RVU21D
2021-07-01$45.43$45.08RVU21C
2021-04-01$45.43$45.08RVU21B
2021-01-01$45.43$45.08RVU21A
2020-10-01$46.63$45.90RVU20D
2020-07-01$46.63$45.90RVU20C
2020-04-01$46.63$45.90RVU20B
2020-01-01$46.63$45.90RVU20A
2019-10-01$45.84$45.48RVU19D
2019-07-01$45.84$45.48RVU19C
2019-04-01$45.84$45.48RVU19B
2019-01-01$45.84$45.48RVU19A
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 95984 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

95984 billing questions

Can 95984 be reported by itself?

No. It is an add-on code and must be reported with 95983, which represents the initial programming interval.

When should 95984 be used instead of 95983?

Use 95983 for the initial programming interval. Report 95984 for each additional 15-minute interval of brain neurostimulator programming.

Does 95984 cover device analysis without a setting change?

No. 95984 is for additional programming time. Analysis without programming is represented by 95970 when that service's requirements are met.

What documentation supports an additional unit?

Document the brain neurostimulator, the clinical reason for programming, the adjustments made, and the additional time spent beyond the initial interval.

Can 95984 be used for vagus nerve stimulator programming?

No. This code is for an implanted brain neurostimulator; cranial nerve neurostimulator programming is represented by the separate 95976–95977 code family.

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 95984PPRRVU2026_Oct_nonQPP.csv, line 12,734 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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