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CMS RVU26D · Effective 2026-10-01

95972 in Wyoming**

Office / nonfacility

$59.18

Base rate per service

Facility setting

$34.46

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.

Neuromodulation programming

About 95972: Complex spinal or peripheral stimulator programming

Reports complex programming of an implanted spinal cord or peripheral nerve stimulator when a clinician adjusts multiple device settings to manage stimulation.

A clinician analyzes and reprograms an implanted spinal cord or peripheral nerve stimulator, often during follow-up for chronic pain when stimulation coverage, symptom control, or treatment tolerance needs adjustment. Programming may involve changing settings such as electrode selection, amplitude, pulse width, frequency, or cycling. Pain specialists, neurologists, neurosurgeons, and other qualified clinicians may perform the service in an office or facility setting.

Choose 95972 for complex programming of a spinal cord or peripheral nerve system, generally when more than three parameters are changed; use the simpler level when fewer parameters are adjusted. Document the device and anatomic system, the clinical reason for programming, settings assessed and changed, and the patient’s response. CMS values the reported service under the physician fee schedule, with applicable rates shown separately on FeeBase.

Where the value comes from

  • Work RVU0.80 · 45%
  • Practice expense (office) RVU0.92 · 51%
  • Malpractice RVU0.07 · 4%

35.4K

Medicare services in 2024 · #918 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.

95972 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

95971

Neurostimulator programming

Simple spinal/peripheral nerve

$49.83

Both apply to spinal cord or peripheral nerve stimulator programming. Choose 95972 for complex programming, generally when more than three parameters are changed; choose 95971 for the simpler level.

95970

Neurostimulator analysis

Without programming

$19.45

95970 covers analysis without reprogramming. Use 95972 when the clinician changes settings as part of complex programming.

95977

Stimulator programming

Cranial nerve, complex

$50.07

95977 is the complex programming level for a cranial nerve stimulator. 95972 is for spinal cord or peripheral nerve systems.

The same code, a different location

How does Wyoming** compare?

95972 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $59.18

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

    $65.72

    $6.54 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $66.96

    $7.78 higher than Wyoming**

  4. Miami

    $64.62

    $5.44 higher than Wyoming**

  5. Chicago

    $63.16

    $3.98 higher than Wyoming**

  6. Manhattan

    $67.85

    $8.67 higher than Wyoming**

  7. Alaska*

    $74.10

    $14.92 higher than Wyoming**

Other payment areas listed in Wyoming 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, 95972 ranges from $54.32 in Arkansas to $75.22 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). 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

  • Alabama

    Alabama · 95972

    Office

    $54.93

    Facility

    $33.30

    $4.25 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 95972

    Office

    $54.32

    Facility

    $33.09

    $4.86 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 95972

    Office

    $58.50

    Facility

    $34.55

    $0.68 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 95972

    Office

    $62.33

    Facility

    $35.24

    $3.15 higher than Wyoming** for the office setting.

  • Chico

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • El Centro

    California · 95972

    Office

    $62.12

    Facility

    $35.03

    $2.94 higher than Wyoming** for the office setting.

  • Fresno

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Madera

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Merced

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Modesto

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Napa

    California · 95972

    Office

    $70.09

    Facility

    $37.52

    $10.91 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95972

    Office

    $65.25

    Facility

    $36.03

    $6.07 higher than Wyoming** for the office setting.

  • Redding

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95972

    Office

    $62.87

    Facility

    $35.79

    $3.69 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95972

    Office

    $64.67

    Facility

    $35.93

    $5.49 higher than Wyoming** for the office setting.

  • Salinas

    California · 95972

    Office

    $64.42

    Facility

    $35.77

    $5.24 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95972

    Office

    $65.54

    Facility

    $35.98

    $6.36 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95972

    Office

    $73.66

    Facility

    $38.81

    $14.48 higher than Wyoming** for the office setting.

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

    California · 95972

    Office

    $73.58

    Facility

    $38.73

    $14.40 higher than Wyoming** for the office setting.

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

    California · 95972

    Office

    $75.22

    Facility

    $39.58

    $16.04 higher than Wyoming** for the office setting.

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

    California · 95972

    Office

    $74.90

    Facility

    $39.26

    $15.72 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95972

    Office

    $63.43

    Facility

    $35.28

    $4.25 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 95972

    Office

    $65.87

    Facility

    $35.84

    $6.69 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 95972

    Office

    $64.55

    Facility

    $35.73

    $5.37 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 95972

    Office

    $66.51

    Facility

    $36.16

    $7.33 higher than Wyoming** for the office setting.

  • Stockton

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Vallejo

    California · 95972

    Office

    $69.98

    Facility

    $37.40

    $10.80 higher than Wyoming** for the office setting.

  • Visalia

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Yuba City

    California · 95972

    Office

    $62.11

    Facility

    $35.02

    $2.93 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 95972

    Office

    $61.56

    Facility

    $35.26

    $2.38 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 95972

    Office

    $63.18

    Facility

    $36.56

    $4.00 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 95972

    Office

    $59.32

    Facility

    $34.90

    $0.14 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 95972

    Office

    $62.08

    Facility

    $37.04

    $2.90 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 95972

    Office

    $59.61

    Facility

    $35.98

    $0.43 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 95972

    Office

    $60.83

    Facility

    $35.72

    $1.65 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 95972

    Office

    $56.92

    Facility

    $34.87

    $2.26 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 95972

    Office

    $63.01

    Facility

    $34.91

    $3.83 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 95972

    Office

    $55.77

    Facility

    $33.15

    $3.41 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 95972

    Office

    $56.10

    Facility

    $33.36

    $3.08 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 95972

    Office

    $59.70

    Facility

    $36.96

    $0.52 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 95972

    Office

    $58.43

    Facility

    $35.86

    $0.75 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 95972

    Office

    $62.61

    Facility

    $37.23

    $3.43 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 95972

    Office

    $56.34

    Facility

    $33.43

    $2.84 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 95972

    Office

    $55.68

    Facility

    $33.33

    $3.50 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 95972

    Office

    $56.18

    Facility

    $34.20

    $3.00 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 95972

    Office

    $58.29

    Facility

    $35.03

    $0.89 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 95972

    Office

    $56.16

    Facility

    $34.28

    $3.02 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 95972

    Office

    $66.59

    Facility

    $37.08

    $7.41 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95972

    Office

    $61.37

    Facility

    $35.34

    $2.19 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95972

    Office

    $63.01

    Facility

    $36.49

    $3.83 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 95972

    Office

    $60.23

    Facility

    $35.22

    $1.05 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 95972

    Office

    $56.45

    Facility

    $33.71

    $2.73 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 95972

    Office

    $58.65

    Facility

    $34.15

    $0.53 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 95972

    Office

    $60.32

    Facility

    $36.46

    $1.14 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 95972

    Office

    $57.42

    Facility

    $34.85

    $1.76 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 95972

    Office

    $59.03

    Facility

    $33.60

    $0.15 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 95972

    Office

    $57.86

    Facility

    $34.65

    $1.32 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 95972

    Office

    $58.32

    Facility

    $34.79

    $0.86 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 95972

    Office

    $55.49

    Facility

    $34.18

    $3.69 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 95972

    Office

    $54.91

    Facility

    $33.63

    $4.27 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 95972

    Office

    $59.78

    Facility

    $35.07

    $0.60 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 95972

    Office

    $56.88

    Facility

    $33.82

    $2.30 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 95972

    Office

    $58.40

    Facility

    $33.68

    $0.78 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 95972

    Office

    $55.97

    Facility

    $33.15

    $3.21 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 95972

    Office

    $60.76

    Facility

    $35.03

    $1.58 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 95972

    Office

    $66.55

    Facility

    $37.88

    $7.37 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 95972

    Office

    $63.91

    Facility

    $36.92

    $4.73 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 95972

    Office

    $57.71

    Facility

    $35.04

    $1.47 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 95972

    Office

    $59.43

    Facility

    $34.69

    $0.25 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95972

    Office

    $69.31

    Facility

    $39.92

    $10.13 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95972

    Office

    $64.40

    Facility

    $37.34

    $5.22 higher than Wyoming** for the office setting.

  • Queens

    New York · 95972

    Office

    $68.12

    Facility

    $38.91

    $8.94 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 95972

    Office

    $57.56

    Facility

    $34.08

    $1.62 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 95972

    Office

    $57.13

    Facility

    $34.57

    $2.05 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 95972

    Office

    $55.98

    Facility

    $33.91

    $3.20 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 95972

    Office

    $63.03

    Facility

    $35.57

    $3.85 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 95972

    Office

    $58.97

    Facility

    $34.35

    $0.21 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95972

    Office

    $61.98

    Facility

    $36.25

    $2.80 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95972

    Office

    $57.14

    Facility

    $34.45

    $2.04 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 95972

    Office

    $60.09

    Facility

    $35.10

    $0.91 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 95972

    Office

    $61.06

    Facility

    $35.52

    $1.88 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 95972

    Office

    $57.10

    Facility

    $34.26

    $2.08 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 95972

    Office

    $58.24

    Facility

    $33.52

    $0.94 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 95972

    Office

    $55.91

    Facility

    $33.44

    $3.27 lower than Wyoming** for the office setting.

  • Austin

    Texas · 95972

    Office

    $61.36

    Facility

    $35.21

    $2.18 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 95972

    Office

    $56.86

    Facility

    $34.36

    $2.32 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 95972

    Office

    $59.21

    Facility

    $34.72

    $0.03 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 95972

    Office

    $59.57

    Facility

    $34.96

    $0.39 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 95972

    Office

    $59.30

    Facility

    $34.93

    $0.12 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 95972

    Office

    $59.38

    Facility

    $34.84

    $0.20 higher than Wyoming** for the office setting.

  • Houston

    Texas · 95972

    Office

    $60.67

    Facility

    $36.12

    $1.49 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 95972

    Office

    $57.99

    Facility

    $34.54

    $1.19 lower than Wyoming** for the office setting.

  • Utah

    Utah · 95972

    Office

    $57.71

    Facility

    $34.47

    $1.47 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 95972

    Office

    $58.58

    Facility

    $34.28

    $0.60 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95972

    Office

    $60.09

    Facility

    $35.10

    $0.91 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 95972

    Office

    $58.33

    Facility

    $33.86

    $0.85 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 95972

    Office

    $61.20

    Facility

    $35.18

    $2.02 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 95972

    Office

    $67.67

    Facility

    $37.34

    $8.49 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 95972

    Office

    $56.88

    Facility

    $33.20

    $2.30 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 95972

    Office

    $56.77

    Facility

    $35.29

    $2.41 lower than Wyoming** for the office setting.

See how rates vary across the country

95972 · 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.

$54.32

$74.10

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$74.101
AL$54.931
AR$54.321
AZ$58.501
CA$62.11–$75.2229
CO$61.561
CT$63.181
DC$66.961
DE$59.321
FL$59.61–$64.623
GA$56.92–$60.832
GU$63.011
HI$63.011
IA$55.771
ID$56.101
IL$58.43–$63.164
IN$56.341
KS$55.681
KY$56.181
LA$56.16–$58.292
MA$61.37–$66.592
MD$60.23–$66.963
ME$56.45–$58.652
MI$57.42–$60.322
MN$59.031
MO$55.49–$58.323
MS$54.911
MT$59.781
NC$56.881
ND$58.401
NE$55.971
NH$60.761
NJ$63.91–$66.552
NM$57.711
NV$59.431
NY$57.56–$69.315
OH$57.131
OK$55.981
OR$58.97–$63.032
PA$57.14–$61.982
PR$60.091
RI$61.061
SC$57.101
SD$58.241
TN$55.911
TX$56.86–$61.368
UT$57.711
VA$58.58–$66.962
VI$60.091
VT$58.331
WA$61.20–$67.672
WI$56.881
WV$56.771
WY$59.181

Explore 95972 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 95972 in Wyoming**, the physician’s office rate is $59.18 and the facility-setting rate is $34.46: a difference of $24.72.

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 95972 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$65.10

$59.18 × 110% = $65.10

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 95972 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

12,727

Code
95972
Physician work
0.80
Practice expense
0.92
Malpractice
0.07

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 95972 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.80× 1.0000.8000
Practice expense0.92× 1.0000.9200
Malpractice0.07× 0.7400.0518
Total RVUs1.7718
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$59.18

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 95972 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.81
Practice expense0.921
Malpractice0.070.74

(0.8 × 1 + 0.92 × 1 + 0.07 × 0.74) × $33.4009 = $59.18

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.81
Practice expense0.181
Malpractice0.070.74

(0.8 × 1 + 0.18 × 1 + 0.07 × 0.74) × $33.4009 = $34.46

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

95972 · Office / nonfacility

$59.18

Effective 2026-10-01

The base rate is $4.78 higher than on 2025-10-01, moving from $54.40 to $59.18 (8.8%).

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

    $54.40changed to$59.18

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.83 changed to 0.92
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $54.40

    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$59.18$34.46RVU26D
2026-07-01$59.18$34.46RVU26C
2026-04-01$59.18$34.46RVU26B
2026-01-01$59.18$34.46RVU26A
2025-10-01$54.40$37.58RVU25D
2025-07-01$54.40$37.58RVU25C
2025-04-01$54.40$37.58RVU25B
2025-01-01$54.40$37.58RVU25A

95972 billing questions

How does 95972 differ from 95971?

Both cover programming of spinal cord or peripheral nerve stimulators. Report 95972 for complex programming, generally involving changes to more than three parameters; 95971 is the simpler level.

Can 95972 be reported when settings are only checked?

No. 95972 describes programming, so settings must be changed. For analysis without reprogramming, consider 95970.

Is 95972 used for cranial nerve stimulators?

No. It is for spinal cord or peripheral nerve systems. Cranial nerve stimulator programming is represented by the separate 95976 and 95977 levels.

How many units should be reported for a programming session?

Report one unit for the complex programming service, not a separate unit for each parameter changed.

What documentation supports complex programming?

Record the implanted system and site, the reason for adjustment, the settings evaluated and changed, and the patient’s response. The record should support the complex level selected.

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 95972PPRRVU2026_Oct_nonQPP.csv, line 12,727 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet