$19.08–$20.40
95970 covers analysis of a brain neurostimulator without programming. Choose 95983 when the clinician also changes device settings.
On this page
CMS RVU26D · Effective 2026-10-01
95983 Brain stimulator programming Medicare reimbursement rates in Pennsylvania
Report this service for the first 15 minutes of evaluating and adjusting an implanted brain neurostimulator, such as a deep brain stimulation system. Compare 95983 office and facility rates across CMS payment localities in Pennsylvania.
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 95983 in Pennsylvania?
Pennsylvania 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
$50.09–$53.60
2 of 2 localities have a supported rate.
Facility setting
$41.20–$43.52
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.
Neurostimulator programming
About 95983: Brain neurostimulator analysis with programming
Report this service for the first 15 minutes of evaluating and adjusting an implanted brain neurostimulator, such as a deep brain stimulation system.
A clinician evaluates an implanted brain neurostimulator and changes its settings to address the patient’s symptoms or stimulation-related effects. This commonly involves deep brain stimulation for conditions such as Parkinson disease, essential tremor, or dystonia. The clinician reviews device status and stimulation parameters, assesses the patient’s response, and programs the system during the encounter. Neurologists, neurosurgeons, and other qualified clinicians who manage these devices typically perform the service in an office or hospital setting.
Report 95983 for the initial 15 minutes of analysis with programming. The record should support the time spent, the device and settings evaluated or changed, and the clinical reason for programming, such as persistent symptoms or unwanted effects. When the work extends beyond the initial interval, 95984 represents each additional 15 minutes and is reported with 95983. Use 95970 when the brain device is analyzed without programming; programming a spinal, peripheral nerve, or cranial nerve stimulator is represented by different codes.
Where the value comes from
- Work RVU0.91 · 59%
- Practice expense (office) RVU0.56 · 36%
- Malpractice RVU0.08 · 5%
45.3K
Medicare services in 2024 · #818 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.
95983 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$43.65–$46.68
95983 covers the initial 15 minutes of brain neurostimulator analysis with programming; 95984 reports each additional 15 minutes.
$36.95–$39.40
95976 is for programming a cranial nerve neurostimulator, such as a vagal nerve stimulator. 95983 is for an implanted brain neurostimulator.
Compare 95983 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
Metropolitan Philadelphia →
Office / nonfacility
$53.60
Facility
$43.52
Rest Of Pennsylvania →
Office / nonfacility
$50.09
Facility
$41.20
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95983 billing questions
When should 95983 be used instead of 95970?
Use 95983 when the brain neurostimulator is analyzed and programmed. Use 95970 when the service is analysis without programming.
What code reports programming time beyond the initial 15 minutes?
Report 95984 for each additional 15 minutes, in addition to 95983. Document the programming time supporting the additional service.
Can 95983 be reported for a spinal cord stimulator adjustment?
No. This code is for a brain neurostimulator; spinal or peripheral nerve stimulator programming is reported with the applicable code for that device.
What documentation supports 95983?
Document the implanted brain device, the programming performed, the clinical reason for the adjustment, the patient’s response, and the time spent.
Is 95983 reported for a deep brain stimulation programming visit?
It may be reported when the visit includes analysis and programming of the implanted brain stimulator. The condition being treated alone does not establish that programming 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.
12,73095980,,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
12,73695991,,Spin/brain pump refil & main,A,,0.75,2.65,,0.19,,0.07,3.47,1.01,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00