CPT code 62361: Spinal pump, pump implantation or replacement2026 Medicare rate & RVUs in Washington, DC area

Reports surgical implantation or replacement of a spinal infusion pump that delivers medication into the intrathecal or epidural space.

CMS RVU26DEffective Oct 1, 2026One payment locality38 Medicare services in 2024

In Washington, DC area, Medicare pays $523.04 for 62361 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$523.04Hospital or facility

Check a contract rate as a % of Medicare · 62361 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 62361 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 62361 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Washington, DC area compares for 62361

Across 109 of 109 payment localities, the facility rate for 62361 runs from $398.81 in Arkansas to $579.21 in Miami, FL. Washington, DC area pays $523.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

62361 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$523.04
  2. Los Angeles, CA · California$491.34−$31.70
  3. Miami, FL · Florida$579.21+$56.17
  4. Chicago, IL · Illinois$555.92+$32.88
  5. Manhattan, NY · New York$553.32+$30.28
  6. Alaska · Alaska$530.87+$7.83
  7. Alabama · Alabama$406.04−$117.00

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

62361 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$398.81
ArizonaArizona—$447.84
Bakersfield, CACalifornia—$463.68
Chico, CACalifornia—$458.35
El Centro, CACalifornia—$458.70
Fresno, CACalifornia—$458.35
Hanford, CACalifornia—$458.35
Madera, CACalifornia—$458.35

62361 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
62361 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 62361 in every payment locality

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

Office or facility?

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,980

Code
62361
Physician work
4.88
Practice expense
6.99
Malpractice
2.05

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 62361 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.88× 1.0545.1435
Practice expense6.99× 1.1788.2342
Malpractice2.05× 1.1132.2816
Total RVUs15.6594
Conversion factor× 33.4009

Facility rate, Washington, DC area$523.04

Facility: (4.88 × 1.054 + 6.99 × 1.178 + 2.05 × 1.113) × $33.4009 = $523.04

Open 62361 in the RVU calculator

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

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share 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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

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%).

When to use modifier 51

How 62361 has changed in Washington, DC area

62361 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$523.04RVU26D
2026-07-01Not available in this setting$523.04RVU26C
2026-04-01Not available in this setting$523.04RVU26B
2026-01-01Not available in this setting$523.04RVU26A
2025-10-01Not available in this setting$495.54RVU25D
2025-07-01Not available in this setting$495.54RVU25C
2025-04-01Not available in this setting$495.54RVU25B
2025-01-01Not available in this setting$495.54RVU25A
2024-10-01Not available in this setting$505.98RVU24D
2024-07-01Not available in this setting$505.98RVU24C
2024-04-01Not available in this setting$505.98RVU24B
2024-03-09Not available in this setting$505.98RVU24AR
2024-01-01Not available in this setting$497.72RVU24A
2023-10-01Not available in this setting$516.19RVU23D
2023-07-01Not available in this setting$516.19RVU23C
2023-04-01Not available in this setting$516.19RVU23B
2023-01-01Not available in this setting$516.19RVU23A
2022-10-01Not available in this setting$525.44RVU22D
2022-07-01Not available in this setting$525.44RVU22C
2022-04-01Not available in this setting$525.44RVU22B
2022-01-01Not available in this setting$525.44RVU22A
2021-10-01Not available in this setting$521.87RVU21D
2021-07-01Not available in this setting$521.87RVU21C
2021-04-01Not available in this setting$521.87RVU21B
2021-01-01Not available in this setting$521.87RVU21A
2020-10-01Not available in this setting$515.59RVU20D
2020-07-01Not available in this setting$515.59RVU20C
2020-04-01Not available in this setting$515.59RVU20B
2020-01-01Not available in this setting$515.59RVU20A
2019-10-01Not available in this setting$518.21RVU19D
2019-07-01Not available in this setting$518.21RVU19C
2019-04-01Not available in this setting$516.39RVU19B
2019-01-01Not available in this setting$516.39RVU19A
2018-10-01Not available in this setting$515.82RVU18D
2018-07-01Not available in this setting$515.82RVU18C
2018-04-01Not available in this setting$515.82RVU18B
2018-01-01Not available in this setting$515.82RVU18AR1
2017-10-01Not available in this setting$506.69RVU17D
2017-07-01Not available in this setting$506.69RVU17C
2017-04-01Not available in this setting$506.69RVU17B
2017-01-01Not available in this setting$506.69RVU17A
2016-10-01Not available in this setting$425.43RVU16D
2016-07-01Not available in this setting$425.43RVU16C
2016-04-01Not available in this setting$425.43RVU16B
2016-01-01Not available in this setting$425.43RVU16A
2015-10-01Not available in this setting$524.11RVU15D
2015-07-01Not available in this setting$524.11RVU15C
2015-04-01Not available in this setting$521.50RVU15B
2015-01-01Not available in this setting$521.50RVU15A
2014-10-01Not available in this setting$403.90RVU14D
2014-07-01Not available in this setting$403.90RVU14C
2014-04-01Not available in this setting$403.90RVU14B
2014-01-01Not available in this setting$403.90RVU14A
2013-10-01Not available in this setting$374.30RVU13D
2013-07-01Not available in this setting$374.30RVU13C
2013-04-01Not available in this setting$374.30RVU13B
2013-01-01Not available in this setting$374.30RVU13AR

Price 62361 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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
RVUs for 62361PPRRVU2026_Oct_nonQPP.csv, line 6,980 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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