$49.83
Use 95970 when the spinal or peripheral nerve stimulator is analyzed without changing settings. Use 95971 when simple programming is performed.
On this page
CMS RVU26D · Effective 2026-10-01
95970 Neurostimulator analysis Medicare reimbursement rates in Wyoming
Reports electronic assessment of an implanted spinal cord or peripheral nerve stimulator when the device is checked without changing its programmed settings. Compare 95970 office and facility rates across CMS payment localities in Wyoming.
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 95970 in Wyoming?
Wyoming 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
$19.45
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$15.77
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Neuromodulation
About 95970: Implanted neurostimulator system analysis
Reports electronic assessment of an implanted spinal cord or peripheral nerve stimulator when the device is checked without changing its programmed settings.
CPT 95970 captures electronic interrogation of an implanted neurostimulator pulse generator for a spinal cord or peripheral nerve system when the visit assesses device operation without changing its programmed settings. The clinician reviews available device information, such as operating status, stored diagnostics, or battery status, and evaluates system function. This service commonly occurs during follow-up for patients with implanted spinal cord stimulation for chronic pain or peripheral nerve stimulation, in pain medicine, neurology, or neurosurgery settings. It concerns the implanted generator system, rather than EEG or intraoperative neurophysiologic monitoring.
Report the code when documentation supports device analysis without programming. Identify the implanted system and its site, describe the analysis performed and findings, and distinguish interrogation from parameter changes. If stimulation parameters are adjusted, choose the applicable with-programming code based on device type and service complexity. CMS valuation includes physician work, practice expense, and malpractice; practice-expense values differ between office and facility settings.
Where the value comes from
- Work RVU0.35 · 59%
- Practice expense (office) RVU0.21 · 36%
- Malpractice RVU0.03 · 5%
30.7K
Medicare services in 2024 · #966 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.
95970 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$59.18
95972 represents complex programming of a spinal or peripheral nerve system; 95970 represents analysis without programming.
$37.56
95976 is for simple programming of a cranial nerve stimulation system. Select by the implanted device system, not just by the act of interrogation.
$51.08
95983 addresses programming of a brain neurostimulator. Code 95970 is for analysis without programming of a spinal cord or peripheral nerve system.
Compare 95970 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
Wyoming** →
Office / nonfacility
$19.45
Facility
$15.77
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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 95970 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
12,725
- Code
- 95970
- Physician work
- 0.35
- Practice expense
- 0.21
- Malpractice
- 0.03
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.35 | × 1.000 | 0.3500 |
| Practice expense | 0.21 | × 1.000 | 0.2100 |
| Malpractice | 0.03 | × 0.740 | 0.0222 |
| Total RVUs | 0.5822 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$19.45
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.35 | 1 |
| Practice expense | 0.21 | 1 |
| Malpractice | 0.03 | 0.74 |
(0.35 × 1 + 0.21 × 1 + 0.03 × 0.74) × $33.4009 = $19.45
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.35 | 1 |
| Practice expense | 0.1 | 1 |
| Malpractice | 0.03 | 0.74 |
(0.35 × 1 + 0.1 × 1 + 0.03 × 0.74) × $33.4009 = $15.77
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.
95970 billing questions
How does 95970 differ from 95971 or 95972?
95970 describes analysis without programming. Codes 95971 and 95972 describe programming for spinal cord or peripheral nerve systems, at simple and complex levels, respectively.
Does this code include changing stimulation settings?
No. It represents analysis without changing programmed settings; report the applicable with-programming code when parameters are adjusted.
Is 95970 used for cranial nerve or brain stimulators?
This code is for spinal cord or peripheral nerve systems. Cranial nerve systems have codes 95976 and 95977, while brain neurostimulator programming is represented by 95983 and 95984.
What documentation supports reporting 95970?
Document the implanted system and site, the electronic analysis performed, the findings, and that programmed settings were not changed.
Is 95970 reported in timed increments?
The service is not described in timed increments. Documentation should support the device analysis performed, rather than elapsed minutes.
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.
12,72295967,,Meg evoked each addl,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,72395967,26,Meg evoked each addl,A,,3.40,1.98,,1.98,,0.16,5.54,5.54,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,72495967,TC,Meg evoked each addl,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,72595970,,Alys npgt w/o prgrmg,A,,0.35,0.21,,0.10,,0.03,0.59,0.48,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,72695971,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,