CPT code 62252: Shunt reprogramming, per day2026 Medicare rate & RVUs in Texas
A clinician resets an implanted programmable cerebrospinal fluid shunt valve when a setting change is needed to manage CSF drainage or following MRI.
Medicare pays $96.87–$107.09 for 62252 in the office in Texas, from Beaumont, TX to Houston, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 62252 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$96.87 to $107.09
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $106.95 | Unavailable |
| Beaumont, TX | $96.87 | Unavailable |
| Brazoria, TX | $101.38 | Unavailable |
| Dallas, TX | $102.48 | Unavailable |
| Fort Worth, TX | $101.90 | Unavailable |
| Galveston, TX | $101.97 | Unavailable |
| Houston, TX | $107.09 | Unavailable |
| Rest of Texas | $99.38 | Unavailable |
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.
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.
62252 compared with similar codes
Compare codes · National
62252 vs 62230 vs 62225: Medicare rates
How to choose
- 62230Shunt revisionComponent revision, not full-system replacement
- Use 62252 for an external adjustment of a programmable valve. Code 62230 describes surgical revision or replacement of shunt components.
- 62225Ventricular catheterReplacement or irrigation
- Code 62225 concerns replacement or irrigation of a ventricular catheter; 62252 changes a programmable valve setting without catheter replacement or irrigation.
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
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