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CMS RVU26D · Effective 2026-10-01

95977 in Wyoming**

Office / nonfacility

$50.07

Base rate per service

Facility setting

$41.72

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.

Neurostimulator programming

About 95977: Complex cranial nerve stimulator programming

Reports complex programming of an implanted cranial nerve neurostimulator, such as a vagus nerve stimulator, when more than three parameters are programmed.

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. The supplied CMS payment rules list no additional payment provisions for this code.

Where the value comes from

  • Work RVU0.95 · 63%
  • Practice expense (office) RVU0.49 · 32%
  • Malpractice RVU0.08 · 5%

8.8K

Medicare services in 2024 · #1539 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.

95977 compared with similar codes

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

95976

Stimulator programming

Cranial nerve, simple

$37.56

Both apply to cranial nerve neurostimulators. Use 95976 for one to three programmed parameters and 95977 for more than three.

95970

Neurostimulator analysis

Without programming

$19.45

95970 covers implanted neurostimulator analysis without programming; 95977 includes programming of a cranial nerve system.

95972

Stimulator programming

Complex spinal or peripheral nerve

$59.18

95972 is the complex programming code for spinal cord or peripheral nerve systems. Use 95977 for a cranial nerve system.

95983

Brain stimulator programming

Initial 15 minutes

$51.08

95983 is for brain neurostimulator programming. 95977 applies to cranial nerve neurostimulators, such as vagus nerve systems.

The same code, a different location

How does Wyoming** compare?

95977 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $50.07

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

    $54.17

    $4.10 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $55.70

    $5.63 higher than Wyoming**

  4. Miami

    $55.53

    $5.46 higher than Wyoming**

  5. Chicago

    $54.53

    $4.46 higher than Wyoming**

  6. Manhattan

    $57.02

    $6.95 higher than Wyoming**

  7. Alaska*

    $66.50

    $16.43 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, 95977 ranges from $47.17 in Arkansas to $66.50 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

  • Alabama

    Alabama · 95977

    Office

    $47.56

    Facility

    $40.26

    $2.51 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 95977

    Office

    $47.17

    Facility

    $39.99

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

  • Arizona

    Arizona · 95977

    Office

    $49.88

    Facility

    $41.79

    $0.19 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 95977

    Office

    $51.90

    Facility

    $42.75

    $1.83 higher than Wyoming** for the office setting.

  • Chico

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • El Centro

    California · 95977

    Office

    $51.65

    Facility

    $42.50

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

  • Fresno

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Madera

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Merced

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Modesto

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Napa

    California · 95977

    Office

    $56.66

    Facility

    $45.65

    $6.59 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95977

    Office

    $53.63

    Facility

    $43.76

    $3.56 higher than Wyoming** for the office setting.

  • Redding

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95977

    Office

    $52.52

    Facility

    $43.37

    $2.45 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95977

    Office

    $53.34

    Facility

    $43.63

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

  • Salinas

    California · 95977

    Office

    $53.12

    Facility

    $43.44

    $3.05 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95977

    Office

    $53.71

    Facility

    $43.72

    $3.64 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95977

    Office

    $59.05

    Facility

    $47.27

    $8.98 higher than Wyoming** for the office setting.

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

    California · 95977

    Office

    $58.96

    Facility

    $47.18

    $8.89 higher than Wyoming** for the office setting.

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

    California · 95977

    Office

    $60.25

    Facility

    $48.21

    $10.18 higher than Wyoming** for the office setting.

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

    California · 95977

    Office

    $59.88

    Facility

    $47.84

    $9.81 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95977

    Office

    $52.34

    Facility

    $42.83

    $2.27 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 95977

    Office

    $53.71

    Facility

    $43.57

    $3.64 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 95977

    Office

    $53.13

    Facility

    $43.40

    $3.06 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 95977

    Office

    $54.21

    Facility

    $43.96

    $4.14 higher than Wyoming** for the office setting.

  • Stockton

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Vallejo

    California · 95977

    Office

    $56.53

    Facility

    $45.52

    $6.46 higher than Wyoming** for the office setting.

  • Visalia

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Yuba City

    California · 95977

    Office

    $51.64

    Facility

    $42.49

    $1.57 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 95977

    Office

    $51.61

    Facility

    $42.73

    $1.54 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 95977

    Office

    $53.23

    Facility

    $44.23

    $3.16 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 95977

    Office

    $50.46

    Facility

    $42.21

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

  • Fort Lauderdale

    Florida · 95977

    Office

    $53.14

    Facility

    $44.68

    $3.07 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 95977

    Office

    $51.39

    Facility

    $43.41

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

  • Atlanta

    Georgia · 95977

    Office

    $51.66

    Facility

    $43.18

    $1.59 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 95977

    Office

    $49.51

    Facility

    $42.07

    $0.56 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 95977

    Office

    $51.89

    Facility

    $42.39

    $1.82 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 95977

    Office

    $47.77

    Facility

    $40.13

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

  • Idaho

    Idaho · 95977

    Office

    $48.05

    Facility

    $40.37

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

  • East St. Louis

    Illinois · 95977

    Office

    $52.17

    Facility

    $44.49

    $2.10 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 95977

    Office

    $50.85

    Facility

    $43.23

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

  • Suburban Chicago

    Illinois · 95977

    Office

    $53.50

    Facility

    $44.92

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

  • Indiana

    Indiana · 95977

    Office

    $48.20

    Facility

    $40.46

    $1.87 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 95977

    Office

    $47.87

    Facility

    $40.32

    $2.20 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 95977

    Office

    $48.73

    Facility

    $41.30

    $1.34 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 95977

    Office

    $50.17

    Facility

    $42.31

    $0.10 higher than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 95977

    Office

    $48.78

    Facility

    $41.39

    $1.29 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 95977

    Office

    $54.95

    Facility

    $44.98

    $4.88 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95977

    Office

    $51.60

    Facility

    $42.81

    $1.53 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95977

    Office

    $53.11

    Facility

    $44.15

    $3.04 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 95977

    Office

    $51.06

    Facility

    $42.61

    $0.99 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 95977

    Office

    $48.45

    Facility

    $40.77

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

  • Southern Maine

    Maine · 95977

    Office

    $49.64

    Facility

    $41.36

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

  • Detroit

    Michigan · 95977

    Office

    $52.03

    Facility

    $43.97

    $1.96 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 95977

    Office

    $49.69

    Facility

    $42.07

    $0.38 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 95977

    Office

    $49.36

    Facility

    $40.77

    $0.71 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 95977

    Office

    $49.71

    Facility

    $41.87

    $0.36 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 95977

    Office

    $49.99

    Facility

    $42.04

    $0.08 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 95977

    Office

    $48.44

    Facility

    $41.24

    $1.63 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 95977

    Office

    $47.80

    Facility

    $40.61

    $2.27 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 95977

    Office

    $50.76

    Facility

    $42.41

    $0.69 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 95977

    Office

    $48.71

    Facility

    $40.92

    $1.36 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 95977

    Office

    $49.18

    Facility

    $40.83

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

  • Nebraska

    Nebraska · 95977

    Office

    $47.85

    Facility

    $40.14

    $2.22 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 95977

    Office

    $51.11

    Facility

    $42.41

    $1.04 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 95977

    Office

    $55.57

    Facility

    $45.88

    $5.50 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 95977

    Office

    $53.80

    Facility

    $44.69

    $3.73 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 95977

    Office

    $49.95

    Facility

    $42.29

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

  • Nevada**

    Nevada · 95977

    Office

    $50.34

    Facility

    $41.98

    $0.27 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95977

    Office

    $58.18

    Facility

    $48.25

    $8.11 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95977

    Office

    $54.31

    Facility

    $45.17

    $4.24 higher than Wyoming** for the office setting.

  • Queens

    New York · 95977

    Office

    $56.96

    Facility

    $47.09

    $6.89 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 95977

    Office

    $49.16

    Facility

    $41.22

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

  • Ohio

    Ohio · 95977

    Office

    $49.37

    Facility

    $41.74

    $0.70 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 95977

    Office

    $48.42

    Facility

    $40.97

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

  • Portland

    Oregon · 95977

    Office

    $52.41

    Facility

    $43.13

    $2.34 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 95977

    Office

    $49.91

    Facility

    $41.59

    $0.16 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95977

    Office

    $52.53

    Facility

    $43.83

    $2.46 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95977

    Office

    $49.28

    Facility

    $41.61

    $0.79 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 95977

    Office

    $50.91

    Facility

    $42.47

    $0.84 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 95977

    Office

    $51.62

    Facility

    $43.00

    $1.55 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 95977

    Office

    $49.12

    Facility

    $41.41

    $0.95 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 95977

    Office

    $49.00

    Facility

    $40.64

    $1.07 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 95977

    Office

    $48.04

    Facility

    $40.45

    $2.03 lower than Wyoming** for the office setting.

  • Austin

    Texas · 95977

    Office

    $51.48

    Facility

    $42.64

    $1.41 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 95977

    Office

    $49.11

    Facility

    $41.51

    $0.96 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 95977

    Office

    $50.29

    Facility

    $42.01

    $0.22 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 95977

    Office

    $50.61

    Facility

    $42.29

    $0.54 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 95977

    Office

    $50.48

    Facility

    $42.25

    $0.41 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 95977

    Office

    $50.45

    Facility

    $42.16

    $0.38 higher than Wyoming** for the office setting.

  • Houston

    Texas · 95977

    Office

    $51.91

    Facility

    $43.62

    $1.84 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 95977

    Office

    $49.68

    Facility

    $41.75

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

  • Utah

    Utah · 95977

    Office

    $49.51

    Facility

    $41.67

    $0.56 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 95977

    Office

    $49.71

    Facility

    $41.50

    $0.36 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95977

    Office

    $50.91

    Facility

    $42.47

    $0.84 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 95977

    Office

    $49.29

    Facility

    $41.02

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

  • Rest Of Washington

    Washington · 95977

    Office

    $51.41

    Facility

    $42.62

    $1.34 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 95977

    Office

    $55.58

    Facility

    $45.34

    $5.51 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 95977

    Office

    $48.23

    Facility

    $40.23

    $1.84 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 95977

    Office

    $49.78

    Facility

    $42.52

    $0.29 lower than Wyoming** for the office setting.

See how rates vary across the country

95977 · 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.

$47.17

$66.50

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

View all state and territory rates as a table
State / territoryRate 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

Explore 95977 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 95977 in Wyoming**, the physician’s office rate is $50.07 and the facility-setting rate is $41.72: a difference of $8.35.

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 95977 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$55.08

$50.07 × 110% = $55.08

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 95977 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

12,729

Code
95977
Physician work
0.95
Practice expense
0.49
Malpractice
0.08

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 95977 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.95× 1.0000.9500
Practice expense0.49× 1.0000.4900
Malpractice0.08× 0.7400.0592
Total RVUs1.4992
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$50.07

Open 95977 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.951
Practice expense0.491
Malpractice0.080.74

(0.95 × 1 + 0.49 × 1 + 0.08 × 0.74) × $33.4009 = $50.07

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.951
Practice expense0.241
Malpractice0.080.74

(0.95 × 1 + 0.24 × 1 + 0.08 × 0.74) × $33.4009 = $41.72

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

95977 · Office / nonfacility

$50.07

Effective 2026-10-01

The base rate is $1.90 higher than on 2025-10-01, moving from $48.17 to $50.07 (3.9%).

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

    $48.17changed to$50.07

    • 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
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $48.17

    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$50.07$41.72RVU26D
2026-07-01$50.07$41.72RVU26C
2026-04-01$50.07$41.72RVU26B
2026-01-01$50.07$41.72RVU26A
2025-10-01$48.17$47.52RVU25D
2025-07-01$48.17$47.52RVU25C
2025-04-01$48.17$47.52RVU25B
2025-01-01$48.17$47.52RVU25A

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 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 95977PPRRVU2026_Oct_nonQPP.csv, line 12,729 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet