$47.29–$49.63
Use 95980 for the initial analysis in the gastric or anal device family; 95981 describes a subsequent analysis.
On this page
CMS RVU26D · Effective 2026-10-01
95980 Neurostimulator analysis Medicare reimbursement rates in New Jersey
Report initial electronic analysis of an implanted gastric or anal neurostimulator, including device checks and reprogramming performed during that analysis. Compare 95980 office and facility rates across CMS payment localities in New Jersey.
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 95980 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$43.90–$44.93
2 of 2 localities have a supported rate.
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.
Device management
About 95980: Initial gastric or anal stimulator analysis
Report initial electronic analysis of an implanted gastric or anal neurostimulator, including device checks and reprogramming performed during that analysis.
This service evaluates an implanted gastric or anal neurostimulator pulse generator and its system. The clinician checks device operation and settings in a patient with a gastric stimulator, such as one treated for gastroparesis, or an implanted anal stimulator. It is performed during a device-management encounter; the treating clinician may work with device-specific equipment to assess the system and determine whether settings need adjustment.
Choose 95980 for the initial device analysis in this code family; later analyses are distinguished by 95981 and 95982. Reprogramming performed as part of the initial analysis is included in 95980. Documentation should identify the implanted gastric or anal system, the analysis performed, findings such as device status or settings, and any adjustment made. CMS assigns relative value to physician work, practice expense, and malpractice for this service.
Where the value comes from
- Work RVU0.78 · 63%
- Practice expense (office) RVU0.27 · 22%
- Malpractice RVU0.19 · 15%
319
Medicare services in 2024 · #3952 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.
95980 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$69.32–$72.34
95982 is for a subsequent analysis with reprogramming, while 95980 identifies the initial analysis and includes reprogramming when performed.
$20.92–$21.63
95970 covers analysis without programming for other implanted neurostimulator systems; 95980 is specific to gastric or anal systems and their initial analysis.
Compare 95980 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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$44.93
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$43.90
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95980 billing questions
When should 95980 be selected instead of 95981?
95980 identifies the initial device analysis in this gastric or anal neurostimulator code family. Use 95981 for a subsequent analysis.
How does 95980 differ from 95982?
95982 is for a subsequent device analysis with reprogramming. 95980 is the initial analysis, with reprogramming included when performed.
Can reprogramming during the initial analysis be billed separately?
Reprogramming performed as part of the 95980 analysis is included in the service; do not separately report it as another programming service for that same work.
What documentation supports 95980?
Document the implanted gastric or anal system, the device analysis and findings, and any settings changed during the encounter.
Is 95980 used for every implanted neurostimulator?
No. This code family is for implanted gastric or anal neurostimulator systems. Codes 95970–95972 address analysis or programming of other implanted neurostimulator systems.
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.
12,72795972,,Alys cplx sp/pn npgt w/prgrm,A,,0.80,0.92,,0.18,,0.07,1.79,1.05,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,72895976,,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