$50.26
95983 covers the initial programming interval for an implanted brain neurostimulator. Use 95984 only for additional 15-minute intervals, and report it with 95983.
On this page
CMS RVU26D · Effective 2026-10-01
95984 Brain stimulator programming Medicare reimbursement rates in Vermont
Reports each additional 15 minutes of programming an implanted brain neurostimulator, such as a deep brain stimulation system, beyond the initial service. Compare 95984 office and facility rates across CMS payment localities in Vermont.
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 95984 in Vermont?
Vermont 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
$43.78
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$35.84
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Neurological device programming
About 95984: Additional brain neurostimulator programming time
Reports each additional 15 minutes of programming an implanted brain neurostimulator, such as a deep brain stimulation system, beyond the initial service.
This add-on captures additional time spent programming an implanted brain neurostimulator after the initial programming interval. A neurologist, neurosurgeon, or other qualified clinician may adjust settings for a patient with deep brain stimulation for Parkinson disease, essential tremor, or dystonia. Programming may involve changing stimulation parameters in response to symptoms, side effects, or device performance during a clinic visit.
Report 95984 for each additional 15-minute interval beyond the initial interval represented by 95983. The record should support the device being programmed, the clinical reason for adjustment, the settings or parameters changed, and the additional time. Medicare treats 95984 as an add-on: it must be billed with its primary code, 95983, and payment falls within that procedure's global period. Do not use it for analysis without programming or for programming a neurostimulator at a different body site.
CMS billing rules for 95984
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.80 · 59%
- Practice expense (office) RVU0.48 · 36%
- Malpractice RVU0.07 · 5%
51.6K
Medicare services in 2024 · #768 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.
95984 compared with similar codes
Office rates for Vermont, from the same CMS release.
$19.14
95970 covers implanted neurostimulator analysis without programming. Use 95984 only when additional time is spent programming a brain system.
$36.96
95976 is for programming a cranial nerve neurostimulator. 95984 applies to additional programming time for an implanted brain neurostimulator.
Compare 95984 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
Vermont →
Office / nonfacility
$43.78
Facility
$35.84
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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 95984 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
12,734
- Code
- 95984
- Physician work
- 0.80
- Practice expense
- 0.48
- Malpractice
- 0.07
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.80 | × 1.000 | 0.8000 |
| Practice expense | 0.48 | × 0.990 | 0.4752 |
| Malpractice | 0.07 | × 0.506 | 0.0354 |
| Total RVUs | 1.3106 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$43.78
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.8 | 1 |
| Practice expense | 0.48 | 0.99 |
| Malpractice | 0.07 | 0.506 |
(0.8 × 1 + 0.48 × 0.99 + 0.07 × 0.506) × $33.4009 = $43.78
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.8 | 1 |
| Practice expense | 0.24 | 0.99 |
| Malpractice | 0.07 | 0.506 |
(0.8 × 1 + 0.24 × 0.99 + 0.07 × 0.506) × $33.4009 = $35.84
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.
95984 billing questions
Can 95984 be reported by itself?
No. It is an add-on code and must be reported with 95983, which represents the initial programming interval.
When should 95984 be used instead of 95983?
Use 95983 for the initial programming interval. Report 95984 for each additional 15-minute interval of brain neurostimulator programming.
Does 95984 cover device analysis without a setting change?
No. 95984 is for additional programming time. Analysis without programming is represented by 95970 when that service's requirements are met.
What documentation supports an additional unit?
Document the brain neurostimulator, the clinical reason for programming, the adjustments made, and the additional time spent beyond the initial interval.
Can 95984 be used for vagus nerve stimulator programming?
No. This code is for an implanted brain neurostimulator; cranial nerve neurostimulator programming is represented by the separate 95976–95977 code family.
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.
12,73195981,,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
12,73795992,,Canalith repositioning proc,A,,0.73,0.47,,0.14,,0.02,1.22,0.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817