CPT code 62365: Pump removal, spinal infusion pump2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $330.62 for 62365 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 62365 nationwide

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

What 62365 covers

This service covers surgically taking out an implanted pump that delivers medication into the spinal canal, commonly as part of an intrathecal drug-delivery system. A neurosurgeon or pain specialist may remove the pump for infection, erosion, malfunction, or when therapy is no longer needed. Pump replacement may occur during the same operation. The service is commonly performed in a facility setting; it is distinct from removing only the spinal canal catheter.

Select the code when the implanted pump itself is removed. The operative report should identify the pump, the reason for removal, and whether the catheter was also removed or a replacement pump was implanted. Related postoperative visits are included for 10 days. 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% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of 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 Washington, DC area compares for 62365

Across 109 of 109 payment localities, the facility rate for 62365 runs from $260.98 in Arkansas to $357.74 in NYC suburbs and Long Island, NY. Washington, DC area pays $330.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

62365 rates by state

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

See 62365 in every payment locality

How the 62365 rate is calculated

Each of 62365’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.

Payment rules and modifiers for 62365

62365 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 62365

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 62365 has changed in Washington, DC area

Price 62365 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

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

Open CMS sourceHow we calculate rates