No office rate
Use 95980 for initial intraoperative gastric neurostimulator programming. 95982 describes a subsequent service that includes reprogramming.
On this page
CMS RVU26D · Effective 2026-10-01
95982 Gastric stimulator Medicare reimbursement rates in Indiana
Intraoperative gastric neurostimulator analysis with subsequent reprogramming is reported when the implanted pulse generator is interrogated and its settings are changed during surgery. Compare 95982 office and facility rates across CMS payment localities in Indiana.
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.
What does Medicare pay for 95982 in Indiana?
Indiana has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$59.38
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$30.27
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Neurostimulator programming
About 95982: Intraoperative gastric stimulator reprogramming
Intraoperative gastric neurostimulator analysis with subsequent reprogramming is reported when the implanted pulse generator is interrogated and its settings are changed during surgery.
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.
Where the value comes from
- Work RVU0.63 · 33%
- Practice expense (office) RVU1.17 · 61%
- Malpractice RVU0.13 · 7%
864
Medicare services in 2024 · #3076 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.
95982 compared with similar codes
Office rates for Indiana, from the same CMS release.
$40.38
Both concern subsequent intraoperative gastric neurostimulator analysis; 95982 includes reprogramming, while 95981 is for the service without it.
$47.62
95971 describes simple programming of an implanted neurostimulator outside this intraoperative gastric service; 95982 is specifically for subsequent intraoperative gastric reprogramming.
Compare 95982 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Indiana →
Office / nonfacility
$59.38
Facility
$30.27
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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 95982 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
12,732
- Code
- 95982
- Physician work
- 0.63
- Practice expense
- 1.17
- Malpractice
- 0.13
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.63 | × 1.000 | 0.6300 |
| Practice expense | 1.17 | × 0.927 | 1.0846 |
| Malpractice | 0.13 | × 0.486 | 0.0632 |
| Total RVUs | 1.7778 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$59.38
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.63 | 1 |
| Practice expense | 1.17 | 0.927 |
| Malpractice | 0.13 | 0.486 |
(0.63 × 1 + 1.17 × 0.927 + 0.13 × 0.486) × $33.4009 = $59.38
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.63 | 1 |
| Practice expense | 0.23 | 0.927 |
| Malpractice | 0.13 | 0.486 |
(0.63 × 1 + 0.23 × 0.927 + 0.13 × 0.486) × $33.4009 = $30.27
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.
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 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.
12,72995977,,Alys cplx cn npgt prgrmg,A,,0.95,0.49,,0.24,,0.08,1.52,1.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73095980,,Io anal gast n-stim init,A,,0.78,0.27,NA,0.27,,0.19,1.24,1.24,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73195981,,Io anal gast n-stim subsq,A,,0.29,0.96,,0.15,,0.06,1.31,0.50,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73295982,,Io ga n-stim subsq w/reprog,A,,0.63,1.17,,0.23,,0.13,1.93,0.99,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73395983,,Alys brn npgt prgrmg 15 min,A,,0.91,0.56,,0.27,,0.08,1.55,1.26,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73495984,,Alys brn npgt prgrmg addl 15,A,,0.80,0.48,,0.24,,0.07,1.35,1.11,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,73595990,,Spin/brain pump refil & main,A,,0.00,2.89,,2.89,NA,0.05,2.94,2.94,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915