95982 Io ga n-stim subsq w/reprog
What 95982 is
CMS fee schedule short descriptor: Io ga n-stim subsq w/reprog.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 95982 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.63 | 1.17 | 0.13 | 1.93 | $64.46 |
| Facility (hospital, ASC) | 0.63 | 0.23 | 0.13 | 0.99 | $33.07 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 95982 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 95982? These codes are bundled into it
95982 is a Column 1 code in 4 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
95981 | Io anal gast n-stim subsq | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
95982 is bundled into these codes
95982 appears as a Column 2 code in 11 active edits. Reported with one of these Column 1 codes on the same date of service, 95982 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0446T | Insj impltbl glucose sensor | 1 | Check pair |
0447T | Rmvl impltbl glucose sensor | 1 | Check pair |
0448T | Remvl insj impltbl gluc sens | 1 | Check pair |
0587T | Perq impltj/rplcmt isdns ptn | 1 | Check pair |
0588T | Revision/removal isdns ptn | 1 | Check pair |
33276 | Insj phrnc nrv stim sys | 1 | Check pair |
33280 | Rmvl phrnc nrv stim pg only | 1 | Check pair |
33287 | Rmv&rplcmt phrnc nrv stim pg | 1 | Check pair |
64590 | Ins/rpl prph sac/gstr npg/r | 1 | Check pair |
64595 | Rev/rmv prph sac/gstr npg/r | 1 | Check pair |
95980 | Io anal gast n-stim init | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.