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.
In Washington, DC area, Medicare pays $523.04 for 62361 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Washington, DC area · this page$523.04
- Los Angeles, CA · California$491.34−$31.70
- Miami, FL · Florida$579.21+$56.17
- Chicago, IL · Illinois$555.92+$32.88
- Manhattan, NY · New York$553.32+$30.28
- Alaska · Alaska$530.87+$7.83
- Alabama · Alabama$406.04−$117.00
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Merced, CACalifornia | — | $458.35 |
| Modesto, CACalifornia | — | $458.35 |
| Napa, CACalifornia | — | $515.77 |
| Oxnard, CACalifornia | — | $486.18 |
| Redding, CACalifornia | — | $458.35 |
| Rest of CaliforniaCalifornia | — | $458.35 |
| Riverside, CACalifornia | — | $480.22 |
| Sacramento, CACalifornia | — | $477.09 |
| Salinas, CACalifornia | — | $475.34 |
| San Diego, CACalifornia | — | $484.23 |
| Marin County, CACalifornia | — | $539.11 |
| San Francisco, CACalifornia | — | $536.78 |
| San Benito County, CACalifornia | — | $554.29 |
| Santa Clara County, CACalifornia | — | $544.78 |
| San Luis Obispo, CACalifornia | — | $468.39 |
| Santa Cruz, CACalifornia | — | $486.79 |
| Santa Maria, CACalifornia | — | $476.49 |
| Santa Rosa, CACalifornia | — | $491.29 |
| Stockton, CACalifornia | — | $458.35 |
| Vallejo, CACalifornia | — | $512.41 |
| Visalia, CACalifornia | — | $458.35 |
| Yuba City, CACalifornia | — | $458.35 |
| ColoradoColorado | — | $466.84 |
| ConnecticutConnecticut | — | $500.56 |
| DelawareDelaware | — | $456.04 |
| Fort Lauderdale, FLFlorida | — | $523.30 |
| Rest of FloridaFlorida | — | $489.11 |
| Atlanta, GAGeorgia | — | $482.93 |
| Rest of GeorgiaGeorgia | — | $452.87 |
| Hawaii, Guam, HIHawaii | — | $468.10 |
| IowaIowa | — | $403.81 |
| IdahoIdaho | — | $410.18 |
| East St. Louis, ILIllinois | — | $515.69 |
| Rest of IllinoisIllinois | — | $483.18 |
| Suburban Chicago, ILIllinois | — | $525.25 |
| IndianaIndiana | — | $412.70 |
| KansasKansas | — | $408.57 |
| KentuckyKentucky | — | $433.20 |
| New Orleans, LALouisiana | — | $460.48 |
| Rest of LouisianaLouisiana | — | $435.22 |
| Metropolitan Boston, MAMassachusetts | — | $509.39 |
| Rest of MassachusettsMassachusetts | — | $466.02 |
| Baltimore area, MDMaryland | — | $500.82 |
| Rest of MarylandMaryland | — | $463.76 |
| Rest of MaineMaine | — | $420.38 |
| Southern Maine, MEMaine | — | $437.57 |
| Detroit, MIMichigan | — | $503.74 |
| Rest of MichiganMichigan | — | $453.46 |
| MinnesotaMinnesota | — | $423.51 |
| Metropolitan Kansas City, MOMissouri | — | $449.12 |
| Metropolitan St. Louis, MOMissouri | — | $453.87 |
| Rest of MissouriMissouri | — | $430.94 |
| MississippiMississippi | — | $414.62 |
| MontanaMontana | — | $464.80 |
| North CarolinaNorth Carolina | — | $424.58 |
| North DakotaNorth Dakota | — | $424.27 |
| NebraskaNebraska | — | $404.37 |
| New HampshireNew Hampshire | — | $465.95 |
| Northern New JerseyNew Jersey | — | $517.22 |
| Rest of New JerseyNew Jersey | — | $499.58 |
| New MexicoNew Mexico | — | $459.33 |
| NevadaNevada | — | $453.74 |
| NYC suburbs and Long Island, NYNew York | — | $578.18 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $508.83 |
| Queens, NYNew York | — | $548.13 |
| Rest of New YorkNew York | — | $432.93 |
| OhioOhio | — | $445.18 |
| OklahomaOklahoma | — | $424.69 |
| Portland, OROregon | — | $475.94 |
| Rest of OregonOregon | — | $443.67 |
| Metropolitan Philadelphia, PAPennsylvania | — | $490.66 |
| Rest of PennsylvaniaPennsylvania | — | $442.03 |
| Puerto RicoPuerto Rico | — | $466.48 |
| Rhode IslandRhode Island | — | $468.35 |
| South CarolinaSouth Carolina | — | $436.93 |
| South DakotaSouth Dakota | — | $419.48 |
| TennesseeTennessee | — | $411.99 |
| Austin, TXTexas | — | $471.00 |
| Beaumont, TXTexas | — | $439.07 |
| Brazoria, TXTexas | — | $449.08 |
| Dallas, TXTexas | — | $455.75 |
| Fort Worth, TXTexas | — | $454.31 |
| Galveston, TXTexas | — | $452.83 |
| Houston, TXTexas | — | $490.36 |
| Rest of TexasTexas | — | $446.39 |
| UtahUtah | — | $443.95 |
| VirginiaVirginia | — | $440.84 |
| Virgin Islands, VIUnited States Virgin Islands | — | $466.48 |
| VermontVermont | — | $428.78 |
| Rest of WashingtonWashington | — | $463.07 |
| King County, WAWashington | — | $513.56 |
| WisconsinWisconsin | — | $407.75 |
| West VirginiaWest Virginia | — | $463.87 |
| WyomingWyoming | — | $447.14 |
62361 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 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.
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.88 | × 1.054 | 5.1435 |
| Practice expense | 6.99 | × 1.178 | 8.2342 |
| Malpractice | 2.05 | × 1.113 | 2.2816 |
| Total RVUs | 15.6594 | ||
| 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
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%).
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.
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 | $523.04 | RVU26D |
| 2026-07-01 | Not available in this setting | $523.04 | RVU26C |
| 2026-04-01 | Not available in this setting | $523.04 | RVU26B |
| 2026-01-01 | Not available in this setting | $523.04 | RVU26A |
| 2025-10-01 | Not available in this setting | $495.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $495.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $495.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $495.54 | RVU25A |
| 2024-10-01 | Not available in this setting | $505.98 | RVU24D |
| 2024-07-01 | Not available in this setting | $505.98 | RVU24C |
| 2024-04-01 | Not available in this setting | $505.98 | RVU24B |
| 2024-03-09 | Not available in this setting | $505.98 | RVU24AR |
| 2024-01-01 | Not available in this setting | $497.72 | RVU24A |
| 2023-10-01 | Not available in this setting | $516.19 | RVU23D |
| 2023-07-01 | Not available in this setting | $516.19 | RVU23C |
| 2023-04-01 | Not available in this setting | $516.19 | RVU23B |
| 2023-01-01 | Not available in this setting | $516.19 | RVU23A |
| 2022-10-01 | Not available in this setting | $525.44 | RVU22D |
| 2022-07-01 | Not available in this setting | $525.44 | RVU22C |
| 2022-04-01 | Not available in this setting | $525.44 | RVU22B |
| 2022-01-01 | Not available in this setting | $525.44 | RVU22A |
| 2021-10-01 | Not available in this setting | $521.87 | RVU21D |
| 2021-07-01 | Not available in this setting | $521.87 | RVU21C |
| 2021-04-01 | Not available in this setting | $521.87 | RVU21B |
| 2021-01-01 | Not available in this setting | $521.87 | RVU21A |
| 2020-10-01 | Not available in this setting | $515.59 | RVU20D |
| 2020-07-01 | Not available in this setting | $515.59 | RVU20C |
| 2020-04-01 | Not available in this setting | $515.59 | RVU20B |
| 2020-01-01 | Not available in this setting | $515.59 | RVU20A |
| 2019-10-01 | Not available in this setting | $518.21 | RVU19D |
| 2019-07-01 | Not available in this setting | $518.21 | RVU19C |
| 2019-04-01 | Not available in this setting | $516.39 | RVU19B |
| 2019-01-01 | Not available in this setting | $516.39 | RVU19A |
| 2018-10-01 | Not available in this setting | $515.82 | RVU18D |
| 2018-07-01 | Not available in this setting | $515.82 | RVU18C |
| 2018-04-01 | Not available in this setting | $515.82 | RVU18B |
| 2018-01-01 | Not available in this setting | $515.82 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $506.69 | RVU17D |
| 2017-07-01 | Not available in this setting | $506.69 | RVU17C |
| 2017-04-01 | Not available in this setting | $506.69 | RVU17B |
| 2017-01-01 | Not available in this setting | $506.69 | RVU17A |
| 2016-10-01 | Not available in this setting | $425.43 | RVU16D |
| 2016-07-01 | Not available in this setting | $425.43 | RVU16C |
| 2016-04-01 | Not available in this setting | $425.43 | RVU16B |
| 2016-01-01 | Not available in this setting | $425.43 | RVU16A |
| 2015-10-01 | Not available in this setting | $524.11 | RVU15D |
| 2015-07-01 | Not available in this setting | $524.11 | RVU15C |
| 2015-04-01 | Not available in this setting | $521.50 | RVU15B |
| 2015-01-01 | Not available in this setting | $521.50 | RVU15A |
| 2014-10-01 | Not available in this setting | $403.90 | RVU14D |
| 2014-07-01 | Not available in this setting | $403.90 | RVU14C |
| 2014-04-01 | Not available in this setting | $403.90 | RVU14B |
| 2014-01-01 | Not available in this setting | $403.90 | RVU14A |
| 2013-10-01 | Not available in this setting | $374.30 | RVU13D |
| 2013-07-01 | Not available in this setting | $374.30 | RVU13C |
| 2013-04-01 | Not available in this setting | $374.30 | RVU13B |
| 2013-01-01 | Not available in this setting | $374.30 | RVU13AR |
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
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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