CPT code 62355: Catheter removal, without laminectomy2026 Medicare rate & RVUs in North Carolina
Removal of a previously implanted spinal canal catheter without laminectomy, commonly performed when an intrathecal or epidural drug-delivery catheter is no longer needed.
In North Carolina, Medicare pays $261.38 for 62355 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 62355 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 62355 covers
This procedure removes a previously implanted catheter from the spinal canal without performing a laminectomy. It may be part of care for a patient with an intrathecal or epidural medication-delivery system when the catheter is no longer needed or must be removed. Neurosurgeons, anesthesiologists specializing in pain medicine, and other qualified surgeons may perform it, typically in an operating room or other surgical setting. This code describes removal of the catheter, not removal of an implanted infusion pump or reservoir.
Report the code when the operative record supports removal of the spinal catheter without laminectomy. Documentation should identify the catheter removed, the reason for removal, and the approach used, including whether a laminectomy was performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
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 North Carolina compares for 62355
Across 109 of 109 payment localities, the facility rate for 62355 runs from $247.71 in Arkansas to $340.67 in San Benito County, CA. North Carolina pays $261.38. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$261.38
- Los Angeles, CA · California$300.99+$39.61
- Washington, DC area · District of Columbia$314.70+$53.32
- Miami, FL · Florida$330.42+$69.04
- Chicago, IL · Illinois$319.59+$58.21
- Manhattan, NY · New York$327.26+$65.88
- Alaska · Alaska$334.67+$73.29
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $251.36 |
| ArkansasArkansas | — | $247.71 |
| ArizonaArizona | — | $272.53 |
| Bakersfield, CACalifornia | — | $284.98 |
| Chico, CACalifornia | — | $282.65 |
| El Centro, CACalifornia | — | $282.80 |
| Fresno, CACalifornia | — | $282.65 |
| Hanford, CACalifornia | — | $282.65 |
| Madera, CACalifornia | — | $282.65 |
| Merced, CACalifornia | — | $282.65 |
| Modesto, CACalifornia | — | $282.65 |
| Napa, CACalifornia | — | $317.49 |
| Oxnard, CACalifornia | — | $298.17 |
| Redding, CACalifornia | — | $282.65 |
| Rest of CaliforniaCalifornia | — | $282.65 |
| Riverside, CACalifornia | — | $291.87 |
| Sacramento, CACalifornia | — | $294.00 |
| Salinas, CACalifornia | — | $292.88 |
| San Diego, CACalifornia | — | $297.99 |
| Marin County, CACalifornia | — | $332.35 |
| San Francisco, CACalifornia | — | $331.37 |
| San Benito County, CACalifornia | — | $340.67 |
| Santa Clara County, CACalifornia | — | $336.67 |
| San Luis Obispo, CACalifornia | — | $288.53 |
| Santa Cruz, CACalifornia | — | $299.37 |
| Santa Maria, CACalifornia | — | $293.49 |
| Santa Rosa, CACalifornia | — | $302.19 |
| Stockton, CACalifornia | — | $282.65 |
| Vallejo, CACalifornia | — | $316.08 |
| Visalia, CACalifornia | — | $282.65 |
| Yuba City, CACalifornia | — | $282.65 |
| ColoradoColorado | — | $284.74 |
| ConnecticutConnecticut | — | $299.76 |
| DelawareDelaware | — | $276.94 |
| Fort Lauderdale, FLFlorida | — | $305.89 |
| Rest of FloridaFlorida | — | $289.34 |
| Atlanta, GAGeorgia | — | $289.21 |
| Rest of GeorgiaGeorgia | — | $271.66 |
| Hawaii, Guam, HIHawaii | — | $287.52 |
| IowaIowa | — | $251.97 |
| IdahoIdaho | — | $254.83 |
| East St. Louis, ILIllinois | — | $299.10 |
| Rest of IllinoisIllinois | — | $285.19 |
| Suburban Chicago, ILIllinois | — | $307.57 |
| IndianaIndiana | — | $256.16 |
| KansasKansas | — | $253.54 |
| KentuckyKentucky | — | $263.30 |
| New Orleans, LALouisiana | — | $276.75 |
| Rest of LouisianaLouisiana | — | $263.99 |
| Metropolitan Boston, MAMassachusetts | — | $308.98 |
| Rest of MassachusettsMassachusetts | — | $284.16 |
| Baltimore area, MDMaryland | — | $299.53 |
| Rest of MarylandMaryland | — | $281.34 |
| Rest of MaineMaine | — | $259.11 |
| Southern Maine, MEMaine | — | $269.07 |
| Detroit, MIMichigan | — | $295.83 |
| Rest of MichiganMichigan | — | $272.72 |
| MinnesotaMinnesota | — | $264.64 |
| Metropolitan Kansas City, MOMissouri | — | $271.91 |
| Metropolitan St. Louis, MOMissouri | — | $274.40 |
| Rest of MissouriMissouri | — | $261.30 |
| MississippiMississippi | — | $254.42 |
| MontanaMontana | — | $280.84 |
| North DakotaNorth Dakota | — | $263.84 |
| NebraskaNebraska | — | $252.52 |
| New HampshireNew Hampshire | — | $282.91 |
| Northern New JerseyNew Jersey | — | $311.99 |
| Rest of New JerseyNew Jersey | — | $300.88 |
| New MexicoNew Mexico | — | $275.34 |
| NevadaNevada | — | $276.24 |
| NYC suburbs and Long Island, NYNew York | — | $338.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $305.11 |
| Queens, NYNew York | — | $325.86 |
| Rest of New YorkNew York | — | $265.54 |
| OhioOhio | — | $269.25 |
| OklahomaOklahoma | — | $259.88 |
| Portland, OROregon | — | $290.56 |
| Rest of OregonOregon | — | $271.82 |
| Metropolitan Philadelphia, PAPennsylvania | — | $294.13 |
| Rest of PennsylvaniaPennsylvania | — | $268.12 |
| Puerto RicoPuerto Rico | — | $281.97 |
| Rhode IslandRhode Island | — | $284.50 |
| South CarolinaSouth Carolina | — | $266.21 |
| South DakotaSouth Dakota | — | $261.83 |
| TennesseeTennessee | — | $255.17 |
| Austin, TXTexas | — | $285.78 |
| Beaumont, TXTexas | — | $266.57 |
| Brazoria, TXTexas | — | $274.28 |
| Dallas, TXTexas | — | $277.32 |
| Fort Worth, TXTexas | — | $276.32 |
| Galveston, TXTexas | — | $275.93 |
| Houston, TXTexas | — | $291.67 |
| Rest of TexasTexas | — | $271.15 |
| UtahUtah | — | $269.78 |
| VirginiaVirginia | — | $270.13 |
| Virgin Islands, VIUnited States Virgin Islands | — | $281.97 |
| VermontVermont | — | $265.35 |
| Rest of WashingtonWashington | — | $282.78 |
| King County, WAWashington | — | $312.43 |
| WisconsinWisconsin | — | $255.29 |
| West VirginiaWest Virginia | — | $275.39 |
| WyomingWyoming | — | $273.43 |
62355 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 62355 rate is calculated
Each of 62355’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 · 62355
RVUs × geographic indexes × conversion factor
Work3.46
3.46 RVUs× 1.000 GPCI
Practice expense4.09
4.09 RVUs× 1.000 GPCI
Malpractice0.86
0.86 RVUs× 1.000 GPCI
Adjusted RVUs
8.4100
Conversion factor
$33.4009
Medicare rate
$280.90
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,978
- Code
- 62355
- Physician work
- 3.46
- Practice expense
- 4.09
- Malpractice
- 0.86
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.46 | × 1.000 | 3.4600 |
| Practice expense | 4.09 | × 0.933 | 3.8160 |
| Malpractice | 0.86 | × 0.639 | 0.5495 |
| Total RVUs | 7.8255 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Carolina$261.38
Facility: (3.46 × 1 + 4.09 × 0.933 + 0.86 × 0.639) × $33.4009 = $261.38
Payment rules and modifiers for 62355
62355 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62355
Catheter removal, without laminectomy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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 | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62355
Catheter removal, without laminectomy
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62355 without 51 · national facility
$280.90
Catheter removal, without laminectomy
62355-51 · Second procedure: 50%
$140.45
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 62355 has changed in North Carolina
62355 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $261.38 | RVU26D |
| 2026-07-01 | Not available in this setting | $261.38 | RVU26C |
| 2026-04-01 | Not available in this setting | $261.38 | RVU26B |
| 2026-01-01 | Not available in this setting | $261.38 | RVU26A |
| 2025-10-01 | Not available in this setting | $257.46 | RVU25D |
| 2025-07-01 | Not available in this setting | $257.46 | RVU25C |
| 2025-04-01 | Not available in this setting | $257.46 | RVU25B |
| 2025-01-01 | Not available in this setting | $257.46 | RVU25A |
| 2024-10-01 | Not available in this setting | $259.67 | RVU24D |
| 2024-07-01 | Not available in this setting | $259.67 | RVU24C |
| 2024-04-01 | Not available in this setting | $259.67 | RVU24B |
| 2024-03-09 | Not available in this setting | $259.67 | RVU24AR |
| 2024-01-01 | Not available in this setting | $255.43 | RVU24A |
| 2023-10-01 | Not available in this setting | $263.12 | RVU23D |
| 2023-07-01 | Not available in this setting | $263.12 | RVU23C |
| 2023-04-01 | Not available in this setting | $263.12 | RVU23B |
| 2023-01-01 | Not available in this setting | $263.12 | RVU23A |
| 2022-10-01 | Not available in this setting | $265.11 | RVU22D |
| 2022-07-01 | Not available in this setting | $265.11 | RVU22C |
| 2022-04-01 | Not available in this setting | $265.11 | RVU22B |
| 2022-01-01 | Not available in this setting | $265.11 | RVU22A |
| 2021-10-01 | Not available in this setting | $265.72 | RVU21D |
| 2021-07-01 | Not available in this setting | $265.72 | RVU21C |
| 2021-04-01 | Not available in this setting | $265.72 | RVU21B |
| 2021-01-01 | Not available in this setting | $265.72 | RVU21A |
| 2020-10-01 | Not available in this setting | $265.56 | RVU20D |
| 2020-07-01 | Not available in this setting | $265.56 | RVU20C |
| 2020-04-01 | Not available in this setting | $265.56 | RVU20B |
| 2020-01-01 | Not available in this setting | $265.56 | RVU20A |
| 2019-10-01 | Not available in this setting | $261.81 | RVU19D |
| 2019-07-01 | Not available in this setting | $261.81 | RVU19C |
| 2019-04-01 | Not available in this setting | $261.81 | RVU19B |
| 2019-01-01 | Not available in this setting | $261.81 | RVU19A |
| 2018-10-01 | Not available in this setting | $261.61 | RVU18D |
| 2018-07-01 | Not available in this setting | $261.61 | RVU18C |
| 2018-04-01 | Not available in this setting | $261.61 | RVU18B |
| 2018-01-01 | Not available in this setting | $261.61 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $261.45 | RVU17D |
| 2017-07-01 | Not available in this setting | $261.45 | RVU17C |
| 2017-04-01 | Not available in this setting | $261.45 | RVU17B |
| 2017-01-01 | Not available in this setting | $261.45 | RVU17A |
| 2016-10-01 | Not available in this setting | $264.27 | RVU16D |
| 2016-07-01 | Not available in this setting | $264.27 | RVU16C |
| 2016-04-01 | Not available in this setting | $264.27 | RVU16B |
| 2016-01-01 | Not available in this setting | $264.27 | RVU16A |
| 2015-10-01 | Not available in this setting | $266.05 | RVU15D |
| 2015-07-01 | Not available in this setting | $266.05 | RVU15C |
| 2015-04-01 | Not available in this setting | $264.73 | RVU15B |
| 2015-01-01 | Not available in this setting | $264.73 | RVU15A |
| 2014-10-01 | Not available in this setting | $258.60 | RVU14D |
| 2014-07-01 | Not available in this setting | $258.60 | RVU14C |
| 2014-04-01 | Not available in this setting | $258.60 | RVU14B |
| 2014-01-01 | Not available in this setting | $258.60 | RVU14A |
| 2013-10-01 | Not available in this setting | $252.93 | RVU13D |
| 2013-07-01 | Not available in this setting | $252.93 | RVU13C |
| 2013-04-01 | Not available in this setting | $252.93 | RVU13B |
| 2013-01-01 | Not available in this setting | $252.93 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
62355 billing questions
How is catheter removal different from pump removal?
This code is for removal of the spinal canal catheter. Use 62365 for removal of the implanted infusion pump or reservoir; when both are removed, document each distinct removal.
Does this code include a laminectomy?
No. This code represents catheter removal without laminectomy. The operative note should make the approach clear.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
Are postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in the 10-day global period.
When is an assistant at surgery payable?
CMS allows assistant-at-surgery payment only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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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