CPT code 62252: Shunt reprogramming, per day2026 Medicare rate & RVUs in South Dakota
A clinician resets an implanted programmable cerebrospinal fluid shunt valve when a setting change is needed to manage CSF drainage or following MRI.
In South Dakota, Medicare pays $97.67 for 62252 in the office.
Check a contract rate as a % of Medicare · 62252 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 62252 covers
A neurosurgical clinician uses an external programmer to change the setting of an implanted programmable CSF shunt valve. This service is used for patients with conditions such as hydrocephalus when the prescribed drainage setting needs adjustment; it may also be needed after MRI if the scan affects the valve setting. Reprogramming is performed in office or hospital outpatient settings and does not involve surgically replacing the shunt.
Report the service per day, rather than once for each setting change. Documentation should identify the programmable valve, the reason for adjustment, and the setting before and after reprogramming. CMS treats this as a diagnostic test with professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and reporting without either modifier represents the global service.
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.
How South Dakota compares for 62252
Across 109 of 109 payment localities, the office rate for 62252 runs from $89.40 in Arkansas to $133.33 in San Benito County, CA. South Dakota pays $97.67. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$97.67
- Los Angeles, CA · California$114.62+$16.95
- Washington, DC area · District of Columbia$118.78+$21.11
- Miami, FL · Florida$121.07+$23.40
- Chicago, IL · Illinois$116.51+$18.84
- Manhattan, NY · New York$122.31+$24.64
- Alaska · Alaska$116.28+$18.61
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $91.01 | — |
| ArkansasArkansas | $89.40 | — |
| ArizonaArizona | $100.35 | — |
| Bakersfield, CACalifornia | $107.44 | — |
| Chico, CACalifornia | $106.71 | — |
| El Centro, CACalifornia | $106.76 | — |
| Fresno, CACalifornia | $106.71 | — |
| Hanford, CACalifornia | $106.71 | — |
| Madera, CACalifornia | $106.71 | — |
| Merced, CACalifornia | $106.71 | — |
| Modesto, CACalifornia | $106.71 | — |
| Napa, CACalifornia | $123.20 | — |
| Oxnard, CACalifornia | $113.85 | — |
| Redding, CACalifornia | $106.71 | — |
| Rest of CaliforniaCalifornia | $106.71 | — |
| Riverside, CACalifornia | $109.70 | — |
| Sacramento, CACalifornia | $111.89 | — |
| Salinas, CACalifornia | $111.49 | — |
| San Diego, CACalifornia | $114.13 | — |
| Marin County, CACalifornia | $130.00 | — |
| San Francisco, CACalifornia | $129.68 | — |
| San Benito County, CACalifornia | $133.33 | — |
| Santa Clara County, CACalifornia | $132.03 | — |
| San Luis Obispo, CACalifornia | $109.74 | — |
| Santa Cruz, CACalifornia | $115.19 | — |
| Santa Maria, CACalifornia | $111.91 | — |
| Santa Rosa, CACalifornia | $116.33 | — |
| Stockton, CACalifornia | $106.71 | — |
| Vallejo, CACalifornia | $122.74 | — |
| Visalia, CACalifornia | $106.71 | — |
| Yuba City, CACalifornia | $106.71 | — |
| ColoradoColorado | $106.63 | — |
| ConnecticutConnecticut | $111.75 | — |
| DelawareDelaware | $102.21 | — |
| Fort Lauderdale, FLFlorida | $112.35 | — |
| Rest of FloridaFlorida | $105.48 | — |
| Atlanta, GAGeorgia | $106.96 | — |
| Rest of GeorgiaGeorgia | $98.06 | — |
| Hawaii, Guam, HIHawaii | $109.59 | — |
| IowaIowa | $92.25 | — |
| IdahoIdaho | $93.31 | — |
| East St. Louis, ILIllinois | $107.72 | — |
| Rest of IllinoisIllinois | $103.01 | — |
| Suburban Chicago, ILIllinois | $113.17 | — |
| IndianaIndiana | $93.93 | — |
| KansasKansas | $92.47 | — |
| KentuckyKentucky | $95.26 | — |
| New Orleans, LALouisiana | $100.99 | — |
| Rest of LouisianaLouisiana | $95.38 | — |
| Metropolitan Boston, MAMassachusetts | $117.51 | — |
| Rest of MassachusettsMassachusetts | $106.10 | — |
| Baltimore area, MDMaryland | $111.62 | — |
| Rest of MarylandMaryland | $104.20 | — |
| Rest of MaineMaine | $94.70 | — |
| Southern Maine, MEMaine | $99.79 | — |
| Detroit, MIMichigan | $107.83 | — |
| Rest of MichiganMichigan | $98.95 | — |
| MinnesotaMinnesota | $99.34 | — |
| Metropolitan Kansas City, MOMissouri | $99.36 | — |
| Metropolitan St. Louis, MOMissouri | $100.51 | — |
| Rest of MissouriMissouri | $93.91 | — |
| MississippiMississippi | $91.64 | — |
| MontanaMontana | $103.86 | — |
| North CarolinaNorth Carolina | $95.78 | — |
| North DakotaNorth Dakota | $98.32 | — |
| NebraskaNebraska | $92.63 | — |
| New HampshireNew Hampshire | $105.60 | — |
| Northern New JerseyNew Jersey | $117.30 | — |
| Rest of New JerseyNew Jersey | $112.23 | — |
| New MexicoNew Mexico | $99.91 | — |
| NevadaNevada | $102.39 | — |
| NYC suburbs and Long Island, NYNew York | $126.75 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $113.62 | — |
| Queens, NYNew York | $122.38 | — |
| Rest of New YorkNew York | $97.58 | — |
| OhioOhio | $97.82 | — |
| OklahomaOklahoma | $94.25 | — |
| Portland, OROregon | $109.69 | — |
| Rest of OregonOregon | $100.82 | — |
| Metropolitan Philadelphia, PAPennsylvania | $109.00 | — |
| Rest of PennsylvaniaPennsylvania | $97.58 | — |
| Puerto RicoPuerto Rico | $104.51 | — |
| Rhode IslandRhode Island | $105.65 | — |
| South CarolinaSouth Carolina | $97.12 | — |
| TennesseeTennessee | $93.13 | — |
| Austin, TXTexas | $106.95 | — |
| Beaumont, TXTexas | $96.87 | — |
| Brazoria, TXTexas | $101.38 | — |
| Dallas, TXTexas | $102.48 | — |
| Fort Worth, TXTexas | $101.90 | — |
| Galveston, TXTexas | $101.97 | — |
| Houston, TXTexas | $107.09 | — |
| Rest of TexasTexas | $99.38 | — |
| UtahUtah | $98.69 | — |
| VirginiaVirginia | $99.93 | — |
| Virgin Islands, VIUnited States Virgin Islands | $104.51 | — |
| VermontVermont | $98.55 | — |
| Rest of WashingtonWashington | $105.69 | — |
| King County, WAWashington | $119.37 | — |
| WisconsinWisconsin | $94.45 | — |
| West VirginiaWest Virginia | $98.68 | — |
| WyomingWyoming | $101.45 | — |
62252 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$89.40
$120.02
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $116.28 | 1 |
| AL | $91.01 | 1 |
| AR | $89.40 | 1 |
| AZ | $100.35 | 1 |
| CA | $106.71–$133.33 | 29 |
| CO | $106.63 | 1 |
| CT | $111.75 | 1 |
| DC | $118.78 | 1 |
| DE | $102.21 | 1 |
| FL | $105.48–$121.07 | 3 |
| GA | $98.06–$106.96 | 2 |
| GU | $109.59 | 1 |
| HI | $109.59 | 1 |
| IA | $92.25 | 1 |
| ID | $93.31 | 1 |
| IL | $103.01–$116.51 | 4 |
| IN | $93.93 | 1 |
| KS | $92.47 | 1 |
| KY | $95.26 | 1 |
| LA | $95.38–$100.99 | 2 |
| MA | $106.10–$117.51 | 2 |
| MD | $104.20–$118.78 | 3 |
| ME | $94.70–$99.79 | 2 |
| MI | $98.95–$107.83 | 2 |
| MN | $99.34 | 1 |
| MO | $93.91–$100.51 | 3 |
| MS | $91.64 | 1 |
| MT | $103.86 | 1 |
| NC | $95.78 | 1 |
| ND | $98.32 | 1 |
| NE | $92.63 | 1 |
| NH | $105.60 | 1 |
| NJ | $112.23–$117.30 | 2 |
| NM | $99.91 | 1 |
| NV | $102.39 | 1 |
| NY | $97.58–$126.75 | 5 |
| OH | $97.82 | 1 |
| OK | $94.25 | 1 |
| OR | $100.82–$109.69 | 2 |
| PA | $97.58–$109.00 | 2 |
| PR | $104.51 | 1 |
| RI | $105.65 | 1 |
| SC | $97.12 | 1 |
| SD | $97.67 | 1 |
| TN | $93.13 | 1 |
| TX | $96.87–$107.09 | 8 |
| UT | $98.69 | 1 |
| VA | $99.93–$118.78 | 2 |
| VI | $104.51 | 1 |
| VT | $98.55 | 1 |
| WA | $105.69–$119.37 | 2 |
| WI | $94.45 | 1 |
| WV | $98.68 | 1 |
| WY | $101.45 | 1 |
How the 62252 rate is calculated
Each of 62252’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 62252
RVUs × geographic indexes × conversion factor
Work0.72
0.72 RVUs× 1.000 GPCI
Practice expense2.11
2.11 RVUs× 1.000 GPCI
Malpractice0.28
0.28 RVUs× 1.000 GPCI
Adjusted RVUs
3.1100
Conversion factor
$33.4009
Medicare rate
$103.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,938
- Code
- 62252
- Physician work
- 0.72
- Practice expense
- 2.11
- Malpractice
- 0.28
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.72 | × 1.000 | 0.7200 |
| Practice expense | 2.11 | × 1.000 | 2.1100 |
| Malpractice | 0.28 | × 0.336 | 0.0941 |
| Total RVUs | 2.9241 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$97.67
Office: (0.72 × 1 + 2.11 × 1 + 0.28 × 0.336) × $33.4009 = $97.67
Payment rules and modifiers for 62252
The CMS indicators that decide how 62252 is paid alongside other services.
CMS payment indicators · 62252
Shunt reprogramming, per day
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
62252 without 26 · national office
$103.88
Shunt reprogramming, per day
62252-26 · Professional component
$49.43
Pays only the interpretation and report.
How 62252 has changed in South Dakota
62252 · Office / nonfacility
$97.67
Effective 2026-10-01
The base rate is $17.75 higher than on 2025-10-01, moving from $79.92 to $97.67 (22.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$79.92changed to$97.67
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.74 changed to 0.72
- Practice expense RVU 1.62 changed to 2.11
- Malpractice RVU 0.29 changed to 0.28
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$80.45changed to$79.92
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.57 changed to 1.62
- Malpractice RVU 0.28 changed to 0.29
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$79.14changed to$80.45
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$79.36changed to$79.14
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.50 changed to 1.57
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$78.56changed to$79.36
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.44 changed to 1.50
- Malpractice RVU 0.26 changed to 0.28
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$78.17changed to$78.56
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.41 changed to 1.44
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$77.44changed to$78.17
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.31 changed to 1.41
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$78.17changed to$77.44
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.32 changed to 1.31
- Malpractice RVU 0.28 changed to 0.26
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$81.32changed to$78.17
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.41 changed to 1.32
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$81.99changed to$81.32
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.43 changed to 1.41
- Malpractice RVU 0.29 changed to 0.28
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$82.21changed to$81.99
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.44 changed to 1.43
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$82.58changed to$82.21
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.45 changed to 1.44
- Malpractice RVU 0.27 changed to 0.29
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$82.16changed to$82.58
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$81.31changed to$82.16
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.43 changed to 1.45
- Malpractice RVU 0.24 changed to 0.27
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$83.63changed to$81.31
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.61 changed to 1.43
- Malpractice RVU 0.25 changed to 0.24
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $83.63
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $97.67 | Not available in this setting | RVU26D |
| 2026-07-01 | $97.67 | Not available in this setting | RVU26C |
| 2026-04-01 | $97.67 | Not available in this setting | RVU26B |
| 2026-01-01 | $97.67 | Not available in this setting | RVU26A |
| 2025-10-01 | $79.92 | Not available in this setting | RVU25D |
| 2025-07-01 | $79.92 | Not available in this setting | RVU25C |
| 2025-04-01 | $79.92 | Not available in this setting | RVU25B |
| 2025-01-01 | $79.92 | Not available in this setting | RVU25A |
| 2024-10-01 | $80.45 | Not available in this setting | RVU24D |
| 2024-07-01 | $80.45 | Not available in this setting | RVU24C |
| 2024-04-01 | $80.45 | Not available in this setting | RVU24B |
| 2024-03-09 | $80.45 | Not available in this setting | RVU24AR |
| 2024-01-01 | $79.14 | Not available in this setting | RVU24A |
| 2023-10-01 | $79.36 | Not available in this setting | RVU23D |
| 2023-07-01 | $79.36 | Not available in this setting | RVU23C |
| 2023-04-01 | $79.36 | Not available in this setting | RVU23B |
| 2023-01-01 | $79.36 | Not available in this setting | RVU23A |
| 2022-10-01 | $78.56 | Not available in this setting | RVU22D |
| 2022-07-01 | $78.56 | Not available in this setting | RVU22C |
| 2022-04-01 | $78.56 | Not available in this setting | RVU22B |
| 2022-01-01 | $78.56 | Not available in this setting | RVU22A |
| 2021-10-01 | $78.17 | Not available in this setting | RVU21D |
| 2021-07-01 | $78.17 | Not available in this setting | RVU21C |
| 2021-04-01 | $78.17 | Not available in this setting | RVU21B |
| 2021-01-01 | $78.17 | Not available in this setting | RVU21A |
| 2020-10-01 | $77.44 | Not available in this setting | RVU20D |
| 2020-07-01 | $77.44 | Not available in this setting | RVU20C |
| 2020-04-01 | $77.44 | Not available in this setting | RVU20B |
| 2020-01-01 | $77.44 | Not available in this setting | RVU20A |
| 2019-10-01 | $78.17 | Not available in this setting | RVU19D |
| 2019-07-01 | $78.17 | Not available in this setting | RVU19C |
| 2019-04-01 | $78.17 | Not available in this setting | RVU19B |
| 2019-01-01 | $78.17 | Not available in this setting | RVU19A |
| 2018-10-01 | $81.32 | Not available in this setting | RVU18D |
| 2018-07-01 | $81.32 | Not available in this setting | RVU18C |
| 2018-04-01 | $81.32 | Not available in this setting | RVU18B |
| 2018-01-01 | $81.32 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $81.99 | Not available in this setting | RVU17D |
| 2017-07-01 | $81.99 | Not available in this setting | RVU17C |
| 2017-04-01 | $81.99 | Not available in this setting | RVU17B |
| 2017-01-01 | $81.99 | Not available in this setting | RVU17A |
| 2016-10-01 | $82.21 | Not available in this setting | RVU16D |
| 2016-07-01 | $82.21 | Not available in this setting | RVU16C |
| 2016-04-01 | $82.21 | Not available in this setting | RVU16B |
| 2016-01-01 | $82.21 | Not available in this setting | RVU16A |
| 2015-10-01 | $82.58 | Not available in this setting | RVU15D |
| 2015-07-01 | $82.58 | Not available in this setting | RVU15C |
| 2015-04-01 | $82.16 | Not available in this setting | RVU15B |
| 2015-01-01 | $82.16 | Not available in this setting | RVU15A |
| 2014-10-01 | $81.31 | Not available in this setting | RVU14D |
| 2014-07-01 | $81.31 | Not available in this setting | RVU14C |
| 2014-04-01 | $81.31 | Not available in this setting | RVU14B |
| 2014-01-01 | $81.31 | Not available in this setting | RVU14A |
| 2013-10-01 | $83.63 | Not available in this setting | RVU13D |
| 2013-07-01 | $83.63 | Not available in this setting | RVU13C |
| 2013-04-01 | $83.63 | Not available in this setting | RVU13B |
| 2013-01-01 | $83.63 | Not available in this setting | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
62252 billing questions
How is reprogramming different from shunt revision?
Report 62252 when the implanted programmable valve is adjusted with an external programmer. A physical shunt or catheter revision is a different service, such as the work described by 62230.
Is the code reported for each adjustment?
No. It is reported per day, not per setting change. Document the adjustment or adjustments performed that day.
Which modifiers identify the components?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical component, including equipment and staff. Reporting without either modifier represents the global service.
Can reprogramming be reported with an MRI?
Yes, when an MRI is performed and the programmable valve also requires a setting check or adjustment. The MRI and the reprogramming are distinct services.
What documentation supports the service?
Record that the shunt has a programmable valve, why its setting needed attention, and the setting before and after the adjustment.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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