CPT code 62361: Spinal pump, pump implantation or replacement2026 Medicare rate & RVUs in California
Reports surgical implantation or replacement of a spinal infusion pump that delivers medication into the intrathecal or epidural space.
CMS doesn’t publish an office rate for 62361 in California.
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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What 62361 covers
This service covers the operative placement or replacement of an implanted pump that delivers medication into the spinal canal or epidural space. Pain specialists, neurosurgeons, and other qualified surgeons may perform it in a hospital or ambulatory surgical setting for patients needing ongoing medication delivery, such as treatment for severe chronic pain or spasticity. The pump is placed under the skin and connected to the medication-delivery catheter; catheter work should be coded according to the work actually performed and the applicable CPT code.
Report the pump procedure supported by the operative record, including the indication, device implanted or replaced, medication-delivery route, and work on the pump and catheter. Related postoperative visits are included in the 10-day global period. 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 for this code. Assistant-at-surgery and co-surgeon payment require supporting medical-necessity documentation; team surgery is 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.
Where 62361 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $463.68 |
| Chico, CA | Unavailable | $458.35 |
| El Centro, CA | Unavailable | $458.70 |
| Fresno, CA | Unavailable | $458.35 |
| Hanford, CA | Unavailable | $458.35 |
| Los Angeles, CA | Unavailable | $491.34 |
| Madera, CA | Unavailable | $458.35 |
| Marin County, CA | Unavailable | $539.11 |
| Merced, CA | Unavailable | $458.35 |
| Modesto, CA | Unavailable | $458.35 |
| Napa, CA | Unavailable | $515.77 |
| Oxnard, CA | Unavailable | $486.18 |
| Redding, CA | Unavailable | $458.35 |
| Rest of California | Unavailable | $458.35 |
| Riverside, CA | Unavailable | $480.22 |
| Sacramento, CA | Unavailable | $477.09 |
| Salinas, CA | Unavailable | $475.34 |
| San Benito County, CA | Unavailable | $554.29 |
| San Diego, CA | Unavailable | $484.23 |
| San Francisco, CA | Unavailable | $536.78 |
| San Luis Obispo, CA | Unavailable | $468.39 |
| Santa Clara County, CA | Unavailable | $544.78 |
| Santa Cruz, CA | Unavailable | $486.79 |
| Santa Maria, CA | Unavailable | $476.49 |
| Santa Rosa, CA | Unavailable | $491.29 |
| Stockton, CA | Unavailable | $458.35 |
| Vallejo, CA | Unavailable | $512.41 |
| Visalia, CA | Unavailable | $458.35 |
| Yuba City, CA | Unavailable | $458.35 |
How the 62361 rate is calculated
Each of 62361’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 · 62361
RVUs × geographic indexes × conversion factor
Work4.88
4.88 RVUs× 1.000 GPCI
Practice expense6.99
6.99 RVUs× 1.000 GPCI
Malpractice2.05
2.05 RVUs× 1.000 GPCI
Adjusted RVUs
13.9200
Conversion factor
$33.4009
Medicare rate
$464.94
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62361
62361 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62361
Spinal pump, pump implantation or replacement
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 62361
Spinal pump, pump implantation or replacement
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
62361 without 51 · national facility
$464.94
Spinal pump, pump implantation or replacement
62361-51 · Second procedure: 50%
$232.47
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%).
62361 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62350Spinal catheterWithout laminectomy
- 62350 describes implantation, revision, or repositioning of an intrathecal or epidural catheter without laminectomy. Use 62361 for the pump procedure, not catheter work alone.
- 62351Spinal catheterLaminectomy approach
- 62351 describes catheter implantation, revision, or repositioning with a laminectomy approach. It is not the pump implantation service.
- 62367Pump analysisWithout reprogramming
- 62367 is for analysis of an implanted spinal infusion pump. Choose 62361 for the surgical pump implantation or replacement service, not a pump check.
62361 billing questions
How is this code distinguished from 62350 or 62351?
This code reports the spinal infusion pump procedure. Codes 62350 and 62351 describe implantation or revision of the intrathecal or epidural catheter, with the latter involving a laminectomy approach.
Can catheter work be reported separately?
Catheter implantation or revision may be separately reportable when that work is performed and supported by the operative documentation. Use the catheter code that matches the documented service and approach.
Does the 10-day global period include postoperative visits?
Yes. Related postoperative visits during the 10 days after the procedure are included in the global period.
Can modifier 50 be used for pump placement?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.
When is assistant-at-surgery payment supported?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeon payment also requires supporting documentation.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in the same session 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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