$38.72
Both apply to cranial nerve neurostimulators. Use 95976 for one to three programmed parameters and 95977 for more than three.
On this page
CMS RVU26D · Effective 2026-10-01
95977 Stimulator programming Medicare reimbursement rates in Rhode Island
Reports complex programming of an implanted cranial nerve neurostimulator, such as a vagus nerve stimulator, when more than three parameters are programmed. Compare 95977 office and facility rates across CMS payment localities in Rhode Island.
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 95977 in Rhode Island?
Rhode Island 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
$51.62
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$43.00
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 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 Rhode Island, from the same CMS release.
$20.05
95970 covers implanted neurostimulator analysis without programming; 95977 includes programming of a cranial nerve system.
$61.06
95972 is the complex programming code for spinal cord or peripheral nerve systems. Use 95977 for a cranial nerve system.
$52.68
95983 is for brain neurostimulator programming. 95977 applies to cranial nerve neurostimulators, such as vagus nerve systems.
Compare 95977 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
Rhode Island →
Office / nonfacility
$51.62
Facility
$43.00
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
12,729
- Code
- 95977
- Physician work
- 0.95
- Practice expense
- 0.49
- Malpractice
- 0.08
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.95 | × 1.019 | 0.9680 |
| Practice expense | 0.49 | × 1.033 | 0.5062 |
| Malpractice | 0.08 | × 0.892 | 0.0714 |
| Total RVUs | 1.5456 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$51.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.95 | 1.019 |
| Practice expense | 0.49 | 1.033 |
| Malpractice | 0.08 | 0.892 |
(0.95 × 1.019 + 0.49 × 1.033 + 0.08 × 0.892) × $33.4009 = $51.62
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.95 | 1.019 |
| Practice expense | 0.24 | 1.033 |
| Malpractice | 0.08 | 0.892 |
(0.95 × 1.019 + 0.24 × 1.033 + 0.08 × 0.892) × $33.4009 = $43.00
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.
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.
12,72695971,,Alys smpl sp/pn npgt w/prgrm,A,,0.78,0.66,,0.18,,0.07,1.51,1.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,72795972,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537