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CMS RVU26D · Effective 2026-10-01

95976 in Modesto

Office / nonfacility

$38.74

Base rate per service

Facility setting

$31.78

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Neurostimulation

About 95976: Simple cranial nerve stimulator programming

Report simple programming of an implanted cranial nerve neurostimulator, commonly a vagus nerve stimulator adjusted during epilepsy care.

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; FeeBase displays payment rates separately.

Where the value comes from

  • Work RVU0.71 · 62%
  • Practice expense (office) RVU0.37 · 32%
  • Malpractice RVU0.06 · 5%

15.1K

Medicare services in 2024 · #1251 by national volume

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.

95976 compared with similar codes

Office rates for Modesto, from the same CMS release.

95970

Neurostimulator analysis

Without programming

$20.11

95970 describes analysis without programming. Use 95976 when simple programming of a cranial nerve neurostimulator is performed.

95977

Stimulator programming

Cranial nerve, complex

$51.64

95977 is the complex-programming sibling for a cranial nerve neurostimulator; 95976 represents the simple programming level.

95971

Neurostimulator programming

Simple spinal/peripheral nerve

$51.91

95971 is for simple programming of a spinal or peripheral nerve neurostimulator. 95976 applies to a cranial nerve device, such as a vagus nerve stimulator.

95983

Brain stimulator programming

Initial 15 minutes

$52.84

95983 is for programming a brain neurostimulator. Choose 95976 for a cranial nerve neurostimulator instead.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 95976 is $38.93—$0.19 higher than the $38.74 rate in Modesto. Both use the same code, release and participation basis.

95976 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $38.74

  2. Bakersfield

    $38.93

    $0.19 higher than Modesto

  3. Chico

    $38.74

    The same base rate than Modesto

  4. El Centro

    $38.75

    $0.01 higher than Modesto

  5. Fresno

    $38.74

    The same base rate than Modesto

  6. Hanford-Corcoran

    $38.74

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $40.64

    $1.90 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 95976 ranges from $35.36 in Arkansas to $49.84 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 95976

    Office

    $38.74

    Facility

    $31.78

    The same base rate than Modesto for the office setting.

  • Merced

    California · 95976

    Office

    $38.74

    Facility

    $31.78

    The same base rate than Modesto for the office setting.

  • Napa

    California · 95976

    Office

    $42.52

    Facility

    $34.15

    $3.78 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95976

    Office

    $40.23

    Facility

    $32.73

    $1.49 higher than Modesto for the office setting.

  • Redding

    California · 95976

    Office

    $38.74

    Facility

    $31.78

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 95976

    Office

    $38.74

    Facility

    $31.78

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95976

    Office

    $39.40

    Facility

    $32.44

    $0.66 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95976

    Office

    $40.02

    Facility

    $32.63

    $1.28 higher than Modesto for the office setting.

  • Salinas

    California · 95976

    Office

    $39.85

    Facility

    $32.49

    $1.11 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95976

    Office

    $40.29

    Facility

    $32.70

    $1.55 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95976

    Office

    $44.31

    Facility

    $35.36

    $5.57 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 95976

    Office

    $44.24

    Facility

    $35.30

    $5.50 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 95976

    Office

    $45.22

    Facility

    $36.07

    $6.48 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 95976

    Office

    $44.94

    Facility

    $35.79

    $6.20 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95976

    Office

    $39.27

    Facility

    $32.04

    $0.53 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 95976

    Office

    $40.30

    Facility

    $32.59

    $1.56 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 95976

    Office

    $39.86

    Facility

    $32.46

    $1.12 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 95976

    Office

    $40.68

    Facility

    $32.88

    $1.94 higher than Modesto for the office setting.

  • Stockton

    California · 95976

    Office

    $38.74

    Facility

    $31.78

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 95976

    Office

    $42.42

    Facility

    $34.05

    $3.68 higher than Modesto for the office setting.

  • Visalia

    California · 95976

    Office

    $38.74

    Facility

    $31.78

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 95976

    Office

    $38.74

    Facility

    $31.78

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 95976

    Office

    $41.78

    Facility

    $34.31

    $3.04 higher than Modesto for the office setting.

  • Miami

    Florida · 95976

    Office

    $41.65

    Facility

    $35.04

    $2.91 higher than Modesto for the office setting.

  • Chicago

    Illinois · 95976

    Office

    $40.90

    Facility

    $34.52

    $2.16 higher than Modesto for the office setting.

  • Manhattan

    New York · 95976

    Office

    $42.77

    Facility

    $35.40

    $4.03 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 95976

    Office

    $49.84

    Facility

    $43.08

    $11.10 higher than Modesto for the office setting.

  • Alabama

    Alabama · 95976

    Office

    $35.66

    Facility

    $30.11

    $3.08 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 95976

    Office

    $35.36

    Facility

    $29.91

    $3.38 lower than Modesto for the office setting.

  • Arizona

    Arizona · 95976

    Office

    $37.41

    Facility

    $31.26

    $1.33 lower than Modesto for the office setting.

  • Colorado

    Colorado · 95976

    Office

    $38.71

    Facility

    $31.96

    $0.03 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 95976

    Office

    $39.92

    Facility

    $33.09

    $1.18 higher than Modesto for the office setting.

  • Delaware

    Delaware · 95976

    Office

    $37.84

    Facility

    $31.57

    $0.90 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 95976

    Office

    $39.86

    Facility

    $33.43

    $1.12 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 95976

    Office

    $38.54

    Facility

    $32.47

    $0.20 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 95976

    Office

    $38.75

    Facility

    $32.30

    $0.01 higher than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 95976

    Office

    $37.13

    Facility

    $31.47

    $1.61 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 95976

    Office

    $38.93

    Facility

    $31.71

    $0.19 higher than Modesto for the office setting.

  • Iowa

    Iowa · 95976

    Office

    $35.82

    Facility

    $30.01

    $2.92 lower than Modesto for the office setting.

  • Idaho

    Idaho · 95976

    Office

    $36.03

    Facility

    $30.19

    $2.71 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 95976

    Office

    $39.12

    Facility

    $33.28

    $0.38 higher than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 95976

    Office

    $38.13

    Facility

    $32.34

    $0.61 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 95976

    Office

    $40.12

    Facility

    $33.61

    $1.38 higher than Modesto for the office setting.

  • Indiana

    Indiana · 95976

    Office

    $36.14

    Facility

    $30.26

    $2.60 lower than Modesto for the office setting.

  • Kansas

    Kansas · 95976

    Office

    $35.90

    Facility

    $30.16

    $2.84 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 95976

    Office

    $36.53

    Facility

    $30.89

    $2.21 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 95976

    Office

    $37.62

    Facility

    $31.65

    $1.12 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 95976

    Office

    $36.57

    Facility

    $30.96

    $2.17 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 95976

    Office

    $41.23

    Facility

    $33.65

    $2.49 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95976

    Office

    $38.70

    Facility

    $32.02

    $0.04 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95976

    Office

    $39.83

    Facility

    $33.02

    $1.09 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 95976

    Office

    $38.30

    Facility

    $31.88

    $0.44 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 95976

    Office

    $36.33

    Facility

    $30.49

    $2.41 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 95976

    Office

    $37.23

    Facility

    $30.94

    $1.51 lower than Modesto for the office setting.

  • Detroit

    Michigan · 95976

    Office

    $39.02

    Facility

    $32.90

    $0.28 higher than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 95976

    Office

    $37.26

    Facility

    $31.47

    $1.48 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 95976

    Office

    $37.02

    Facility

    $30.49

    $1.72 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 95976

    Office

    $37.28

    Facility

    $31.32

    $1.46 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 95976

    Office

    $37.49

    Facility

    $31.45

    $1.25 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 95976

    Office

    $36.32

    Facility

    $30.85

    $2.42 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 95976

    Office

    $35.84

    Facility

    $30.37

    $2.90 lower than Modesto for the office setting.

  • Montana**

    Montana · 95976

    Office

    $38.07

    Facility

    $31.73

    $0.67 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 95976

    Office

    $36.53

    Facility

    $30.60

    $2.21 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 95976

    Office

    $36.89

    Facility

    $30.54

    $1.85 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 95976

    Office

    $35.88

    Facility

    $30.02

    $2.86 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 95976

    Office

    $38.33

    Facility

    $31.73

    $0.41 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 95976

    Office

    $41.68

    Facility

    $34.32

    $2.94 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 95976

    Office

    $40.36

    Facility

    $33.43

    $1.62 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 95976

    Office

    $37.45

    Facility

    $31.63

    $1.29 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 95976

    Office

    $37.75

    Facility

    $31.40

    $0.99 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95976

    Office

    $43.65

    Facility

    $36.10

    $4.91 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95976

    Office

    $40.74

    Facility

    $33.79

    $2.00 higher than Modesto for the office setting.

  • Queens

    New York · 95976

    Office

    $42.73

    Facility

    $35.23

    $3.99 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 95976

    Office

    $36.86

    Facility

    $30.84

    $1.88 lower than Modesto for the office setting.

  • Ohio

    Ohio · 95976

    Office

    $37.02

    Facility

    $31.22

    $1.72 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 95976

    Office

    $36.31

    Facility

    $30.64

    $2.43 lower than Modesto for the office setting.

  • Portland

    Oregon · 95976

    Office

    $39.32

    Facility

    $32.26

    $0.58 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 95976

    Office

    $37.43

    Facility

    $31.11

    $1.31 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95976

    Office

    $39.40

    Facility

    $32.79

    $0.66 higher than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95976

    Office

    $36.95

    Facility

    $31.13

    $1.79 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 95976

    Office

    $38.18

    Facility

    $31.77

    $0.56 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 95976

    Office

    $38.72

    Facility

    $32.16

    $0.02 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 95976

    Office

    $36.84

    Facility

    $30.97

    $1.90 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 95976

    Office

    $36.75

    Facility

    $30.40

    $1.99 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 95976

    Office

    $36.02

    Facility

    $30.26

    $2.72 lower than Modesto for the office setting.

  • Austin

    Texas · 95976

    Office

    $38.61

    Facility

    $31.90

    $0.13 lower than Modesto for the office setting.

  • Beaumont

    Texas · 95976

    Office

    $36.82

    Facility

    $31.05

    $1.92 lower than Modesto for the office setting.

  • Brazoria

    Texas · 95976

    Office

    $37.71

    Facility

    $31.43

    $1.03 lower than Modesto for the office setting.

  • Dallas

    Texas · 95976

    Office

    $37.96

    Facility

    $31.64

    $0.78 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 95976

    Office

    $37.86

    Facility

    $31.60

    $0.88 lower than Modesto for the office setting.

  • Galveston

    Texas · 95976

    Office

    $37.84

    Facility

    $31.53

    $0.90 lower than Modesto for the office setting.

  • Houston

    Texas · 95976

    Office

    $38.93

    Facility

    $32.63

    $0.19 higher than Modesto for the office setting.

  • Rest Of Texas

    Texas · 95976

    Office

    $37.25

    Facility

    $31.23

    $1.49 lower than Modesto for the office setting.

  • Utah

    Utah · 95976

    Office

    $37.13

    Facility

    $31.17

    $1.61 lower than Modesto for the office setting.

  • Virginia

    Virginia · 95976

    Office

    $37.28

    Facility

    $31.04

    $1.46 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95976

    Office

    $38.18

    Facility

    $31.77

    $0.56 lower than Modesto for the office setting.

  • Vermont

    Vermont · 95976

    Office

    $36.96

    Facility

    $30.68

    $1.78 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 95976

    Office

    $38.56

    Facility

    $31.88

    $0.18 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 95976

    Office

    $41.70

    Facility

    $33.91

    $2.96 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 95976

    Office

    $36.17

    Facility

    $30.09

    $2.57 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 95976

    Office

    $37.32

    Facility

    $31.81

    $1.42 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 95976

    Office

    $37.56

    Facility

    $31.21

    $1.18 lower than Modesto for the office setting.

See how rates vary across the country

95976 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$35.36

$49.84

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$49.841
AL$35.661
AR$35.361
AZ$37.411
CA$38.74–$45.2229
CO$38.711
CT$39.921
DC$41.781
DE$37.841
FL$38.54–$41.653
GA$37.13–$38.752
GU$38.931
HI$38.931
IA$35.821
ID$36.031
IL$38.13–$40.904
IN$36.141
KS$35.901
KY$36.531
LA$36.57–$37.622
MA$38.70–$41.232
MD$38.30–$41.783
ME$36.33–$37.232
MI$37.26–$39.022
MN$37.021
MO$36.32–$37.493
MS$35.841
MT$38.071
NC$36.531
ND$36.891
NE$35.881
NH$38.331
NJ$40.36–$41.682
NM$37.451
NV$37.751
NY$36.86–$43.655
OH$37.021
OK$36.311
OR$37.43–$39.322
PA$36.95–$39.402
PR$38.181
RI$38.721
SC$36.841
SD$36.751
TN$36.021
TX$36.82–$38.938
UT$37.131
VA$37.28–$41.782
VI$38.181
VT$36.961
WA$38.56–$41.702
WI$36.171
WV$37.321
WY$37.561

Explore 95976 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 95976 in Modesto, the physician’s office rate is $38.74 and the facility-setting rate is $31.78: a difference of $6.96.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 95976 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$42.61

$38.74 × 110% = $42.61

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 95976 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

12,728

Code
95976
Physician work
0.71
Practice expense
0.37
Malpractice
0.06

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 95976 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.71× 1.0170.7221
Practice expense0.37× 1.0960.4055
Malpractice0.06× 0.5360.0322
Total RVUs1.1597
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$38.74

Open 95976 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.711.017
Practice expense0.371.096
Malpractice0.060.536

(0.71 × 1.017 + 0.37 × 1.096 + 0.06 × 0.536) × $33.4009 = $38.74

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.711.017
Practice expense0.181.096
Malpractice0.060.536

(0.71 × 1.017 + 0.18 × 1.096 + 0.06 × 0.536) × $33.4009 = $31.78

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

95976 · Office / nonfacility

$38.74

Effective 2026-10-01

The base rate is $1.52 higher than on 2025-10-01, moving from $37.22 to $38.74 (4.1%).

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

    $37.22changed to$38.74

    • 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
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $37.22

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$38.74$31.78RVU26D
2026-07-01$38.74$31.78RVU26C
2026-04-01$38.74$31.78RVU26B
2026-01-01$38.74$31.78RVU26A
2025-10-01$37.22$36.52RVU25D
2025-07-01$37.22$36.52RVU25C
2025-04-01$37.22$36.52RVU25B
2025-01-01$37.22$36.52RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 95976PPRRVU2026_Oct_nonQPP.csv, line 12,728 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet