Billing code 95982: Gastric stimulatorMedicare rate & RVUs
Intraoperative gastric neurostimulator analysis with subsequent reprogramming is reported when the implanted pulse generator is interrogated and its settings are changed during surgery.
Medicare pays $64.46 for 95982 nationally in the office and $33.07 in a hospital or facility. Local office rates run $56.85–$82.04.
Medicare rate · 95982
Gastric stimulator
Swap in your local Medicare rate.
- Work RVUs
- 0.63
- Total RVUs
- 1.93
- Global days
- XXX
National rate · 2026
$64.46
Office setting, before claim adjustments.
See every locality for 95982 → · Billed by an NP, PA or therapist? →
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 10 sections
What 95982 covers
During an operation involving an implanted gastric neurostimulator, the clinician interrogates the pulse generator and changes its programming after initial programming has already occurred. This service is associated with gastric electrical stimulation, commonly used for selected patients with refractory gastroparesis. The surgeon or another qualified clinician uses the programmer to review device function and adjust settings in the operating room; it is not routine clinic follow-up or programming of a brain stimulator.
Choose 95982 when the intraoperative service is subsequent and includes reprogramming, rather than initial programming or a subsequent intraoperative analysis without reprogramming. The operative report or device record should identify the gastric system, intraoperative interrogation, prior programming, changes made, and the reason for adjustment. CMS assigns physician work and practice-expense RVUs to the service. The billed service should reflect programming actually performed, not simply the device’s presence or a visual check.
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.
Where 95982 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$56.85 to $82.04
109 of 109 payment localities
95982 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$56.85
$75.58
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 | $75.58 | 1 |
| AL | $57.69 | 1 |
| AR | $56.85 | 1 |
| AZ | $62.63 | 1 |
| CA | $66.56–$82.04 | 29 |
| CO | $66.27 | 1 |
| CT | $68.81 | 1 |
| DC | $73.05 | 1 |
| DE | $63.66 | 1 |
| FL | $64.93–$72.71 | 3 |
| GA | $61.08–$66.02 | 2 |
| GU | $67.99 | 1 |
| HI | $67.99 | 1 |
| IA | $58.52 | 1 |
| ID | $59.05 | 1 |
| IL | $63.51–$70.43 | 4 |
| IN | $59.38 | 1 |
| KS | $58.56 | 1 |
| KY | $59.76 | 1 |
| LA | $59.79–$62.75 | 2 |
| MA | $65.99–$72.43 | 2 |
| MD | $64.79–$73.05 | 3 |
| ME | $59.70–$62.51 | 2 |
| MI | $61.62–$66.07 | 2 |
| MN | $62.54 | 1 |
| MO | $58.96–$62.60 | 3 |
| MS | $57.90 | 1 |
| MT | $64.46 | 1 |
| NC | $60.28 | 1 |
| ND | $61.88 | 1 |
| NE | $58.75 | 1 |
| NH | $65.52 | 1 |
| NJ | $69.32–$72.34 | 2 |
| NM | $62.09 | 1 |
| NV | $63.78 | 1 |
| NY | $61.22–$76.92 | 5 |
| OH | $61.10 | 1 |
| OK | $59.31 | 1 |
| OR | $63.02–$68.03 | 2 |
| PA | $61.02–$67.28 | 2 |
| PR | $64.83 | 1 |
| RI | $65.68 | 1 |
| SC | $60.84 | 1 |
| SD | $61.58 | 1 |
| TN | $58.90 | 1 |
| TX | $60.64–$66.28 | 8 |
| UT | $61.68 | 1 |
| VA | $62.52–$73.05 | 2 |
| VI | $64.83 | 1 |
| VT | $61.93 | 1 |
| WA | $65.77–$73.59 | 2 |
| WI | $59.82 | 1 |
| WV | $61.22 | 1 |
| WY | $63.33 | 1 |
How the 95982 rate is calculated
Each of 95982’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 · 95982
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.63Practice expense 1.17Malpractice 0.13
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95982
95982 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 · 95982
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$64.46
The facility rate would be $33.07 (+$31.39). In a facility, the facility bills its own costs separately.
95982 compared with similar codes
Compare codes
95982 vs 95980 vs 95981 vs 95971: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95980Neurostimulator analysis
- Use 95980 for initial intraoperative gastric neurostimulator programming. 95982 describes a subsequent service that includes reprogramming.
- 95981Gastric stimulator analysis
- Both concern subsequent intraoperative gastric neurostimulator analysis; 95982 includes reprogramming, while 95981 is for the service without it.
- 95971Neurostimulator programming
- 95971 describes simple programming of an implanted neurostimulator outside this intraoperative gastric service; 95982 is specifically for subsequent intraoperative gastric reprogramming.
95982 billing questions
How does 95982 differ from 95981?
95982 is for subsequent intraoperative analysis that includes reprogramming. Use 95981 for the subsequent intraoperative service without reprogramming.
When would 95980 be more appropriate?
95980 describes the initial intraoperative programming service. 95982 is for subsequent intraoperative reprogramming.
Does this code cover placement of the gastric stimulator?
No. It represents intraoperative interrogation and subsequent programming; it does not describe placement of the generator or leads.
What documentation supports 95982?
Document the gastric neurostimulator, the intraoperative interrogation, prior programming, the settings changed, and the clinical reason for the adjustment.
Can 95982 be used for routine office programming?
No. This code is for subsequent reprogramming performed intraoperatively. Routine non-intraoperative device analysis or programming is represented by other services, depending on the 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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