No office rate
Use 95980 for the initial intraoperative gastric neurostimulator analysis; 95981 identifies a subsequent analysis without reprogramming.
On this page
CMS RVU26D · Effective 2026-10-01
95981 Gastric stimulator analysis Medicare reimbursement rates in Nebraska
Reports a subsequent intraoperative analysis of an implanted gastric neurostimulator when the device is checked without changing its programming. Compare 95981 office and facility rates across CMS payment localities in Nebraska.
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 95981 in Nebraska?
Nebraska 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
$40.04
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$15.07
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 services
About 95981: Subsequent intraoperative gastric stimulator analysis
Reports a subsequent intraoperative analysis of an implanted gastric neurostimulator when the device is checked without changing its programming.
This service is an additional intraoperative check and analysis of an implanted gastric neurostimulator during an operation. It may arise when a surgeon or another clinician with device expertise evaluates the system while operating on a patient with a gastric neurostimulator, commonly used for gastroparesis. The service concerns analysis of the implanted device, not placement or revision of its electrodes.
Select this code for a subsequent intraoperative analysis when no reprogramming is performed. Use the initial code for the first analysis in the operative sequence; the sibling code for a subsequent analysis applies when reprogramming is performed. Documentation should identify the implanted gastric neurostimulator, the operative context, the sequence of the analysis, the findings, and whether settings were changed. CMS fee-schedule valuation includes work, practice expense, and malpractice components, with practice-expense values varying by setting.
Where the value comes from
- Work RVU0.29 · 22%
- Practice expense (office) RVU0.96 · 73%
- Malpractice RVU0.06 · 5%
589
Medicare services in 2024 · #3410 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.
95981 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$58.75
Both describe subsequent intraoperative gastric neurostimulator analysis, but 95982 is selected when the service includes reprogramming.
$18.54
95970 describes electronic analysis of certain implanted neurostimulator systems without reprogramming. This code is specific to subsequent intraoperative analysis of a gastric neurostimulator.
Compare 95981 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
Nebraska →
Office / nonfacility
$40.04
Facility
$15.07
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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 95981 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,731
- Code
- 95981
- Physician work
- 0.29
- Practice expense
- 0.96
- Malpractice
- 0.06
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.29 | × 1.000 | 0.2900 |
| Practice expense | 0.96 | × 0.923 | 0.8861 |
| Malpractice | 0.06 | × 0.378 | 0.0227 |
| Total RVUs | 1.1988 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$40.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.29 | 1 |
| Practice expense | 0.96 | 0.923 |
| Malpractice | 0.06 | 0.378 |
(0.29 × 1 + 0.96 × 0.923 + 0.06 × 0.378) × $33.4009 = $40.04
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.29 | 1 |
| Practice expense | 0.15 | 0.923 |
| Malpractice | 0.06 | 0.378 |
(0.29 × 1 + 0.15 × 0.923 + 0.06 × 0.378) × $33.4009 = $15.07
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.
95981 billing questions
How does this differ from 95980?
95980 is for the initial intraoperative analysis. Use 95981 for a subsequent analysis without reprogramming.
When is 95982 used instead?
95982 describes a subsequent intraoperative gastric neurostimulator analysis with reprogramming. The documented service, rather than the device alone, determines which code fits.
Does this code include implantation or revision of the stimulator?
No. It represents intraoperative device analysis; it does not describe placement or revision of gastric neurostimulator electrodes.
What should the operative documentation establish?
Document the gastric neurostimulator analysis, that it occurred intraoperatively, whether it was initial or subsequent, and whether reprogramming occurred.
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.
12,72895976,,Alys smpl cn npgt prgrmg,A,,0.71,0.37,,0.18,,0.06,1.14,0.95,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,72995977,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068