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See a sample rate comparisonCPT 95980 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Io Anal Gast N Stim Init, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements Gastric Neurostimulator Pulse Generator Transmitter Intraoperative With Programming
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Low |
| Medicare Fee Schedule | $41.42 national non-facility rate (2026) · View Medicare rates for 95980 |
| Medicaid Fee Schedule | $35.86 median of the 8 states in the free preview · View Medicaid rates for 95980 |
National average reimbursement for CPT 95980 by major payers:
$60.73
$57.82
$56.95
$79.19
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CPT 95980
5 of 25 sample ratesHigher to lower in this preview
Vamshi Rao
Pediatric Faculty Foundation In
$120.04Published rateMark Alter
$90.77Published rateCarolyn Doyle
Loyola University Medical Center
$81.19Published rateChristopher Raio
Mercy Medical Center
$68.45Published rateAbbas Naqvi
Town Center Orthopaedic Associates, P.C.
$38.80Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 95980 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95980 code is part of the Medicine Services and Procedures services used for Neurology and Neuromuscular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 95980 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 95972-CPT | Low | Alys Cplx Sp Pn Npgt W Prgrm, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Complex Spinal Cord Or Peripheral Nerve Eg Sacral Nerve Neurostimulator Pulse Generator Transmitter Programming By Physician Or Other Qualified Health Care Professional |
| 95980-CPT | Low | Io Anal Gast N Stim Init, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements Gastric Neurostimulator Pulse Generator Transmitter Intraoperative With Programming |
| 95981-CPT | Low | Io Anal Gast N Stim Subsq, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements Gastric Neurostimulator Pulse Generator Transmitter Subsequent Without Reprogramming |
| 95982-CPT | Low | Io Ga N Stim Subsq W Reprog, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements Gastric Neurostimulator Pulse Generator Transmitter Subsequent With Reprogramming |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95980. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95980 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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