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CPT code 62368: Pump analysis, with reprogramming2026 Medicare rate & RVUs in South Carolina

Reports electronic analysis and adjustment of a programmable implanted pump delivering intrathecal or epidural medication, without a refill service.

CMS RVU26DEffective Oct 1, 2026One payment locality26.4K Medicare services in 2024

In South Carolina, Medicare pays $44.38 for 62368 in the office and $28.64 when it’s performed in a hospital or facility.

$44.38Office (non-facility)
$28.64Hospital or facility
−4.4%vs the national office rate ($46.43)

Check a contract rate as a % of Medicare · 62368 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 62368 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 62368 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 62368 covers

A clinician uses the pump’s programmer to interrogate an implanted device that delivers medication into the intrathecal or epidural space, review its status, and change programmed infusion settings. Pain medicine specialists may use this service when adjusting intrathecal analgesia for chronic pain; physiatrists or other treating clinicians may adjust intrathecal baclofen delivery for spasticity. It is commonly performed during an outpatient visit when symptoms, treatment response, or medication effects prompt a change to the pump program.

Report 62368 when electronic analysis results in an actual programming change and the service does not include pump refill and maintenance. Record the device and indication, findings from the interrogation, the prior and revised settings, and the clinical reason for the adjustment. If analysis is performed without a setting change, consider 62367. When refill and maintenance are part of the service, select from the 62369–62370 family rather than reporting this analysis service for the same work. The Medicare physician fee schedule assigns work and practice-expense values to 62368.

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 South Carolina compares for 62368

Across 109 of 109 payment localities, the office rate for 62368 runs from $42.14 in Arkansas to $57.69 in Alaska. South Carolina pays $44.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

62368 in South Carolina vs other payment areas
  1. South Carolina · this page$44.38
  2. Los Angeles, CA · California$50.63+$6.25
  3. Washington, DC area · District of Columbia$51.85+$7.47
  4. Miami, FL · Florida$50.92+$6.54
  5. Chicago, IL · Illinois$49.72+$5.34
  6. Manhattan, NY · New York$52.81+$8.43
  7. Alaska · Alaska$57.69+$13.31

Other areas in South Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

62368 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$42.62$27.71
ArkansasArkansas$42.14$27.51
ArizonaArizona$45.40$28.89
Bakersfield, CACalifornia$48.07$29.40
Chico, CACalifornia$47.86$29.19
El Centro, CACalifornia$47.87$29.20
Fresno, CACalifornia$47.86$29.19
Hanford, CACalifornia$47.86$29.19

62368 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$42.14

$57.69

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
62368 office rate range by state
State / territoryOffice rate rangeLocalities
AK$57.691
AL$42.621
AR$42.141
AZ$45.401
CA$47.86–$57.6229
CO$47.611
CT$49.081
DC$51.851
DE$46.031
FL$46.62–$50.923
GA$44.46–$47.322
GU$48.511
HI$48.511
IA$43.121
ID$43.401
IL$45.80–$49.724
IN$43.591
KS$43.121
KY$43.741
LA$43.76–$45.422
MA$47.49–$51.402
MD$46.72–$51.853
ME$43.75–$45.362
MI$44.78–$47.252
MN$45.431
MO$43.28–$45.363
MS$42.711
MT$46.421
NC$44.081
ND$45.041
NE$43.251
NH$47.051
NJ$49.58–$51.532
NM$45.041
NV$46.061
NY$44.61–$54.055
OH$44.501
OK$43.511
OR$45.64–$48.662
PA$44.46–$48.192
PR$46.641
RI$47.331
SC$44.381
SD$44.871
TN$43.311
TX$44.25–$47.508
UT$44.851
VA$45.36–$51.852
VI$46.641
VT$45.051
WA$47.34–$52.162
WI$43.871
WV$44.501
WY$45.821

See 62368 in every payment locality

How the 62368 rate is calculated

Each of 62368’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 · 62368

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.65

0.65 RVUs× 1.000 GPCI

Practice expense0.67

0.67 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.3900

Conversion factor

$33.4009

Medicare rate

$46.43

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,984

Code
62368
Physician work
0.65
Practice expense
0.67
Malpractice
0.07

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 62368 in South Carolina
ComponentRVULocality factorAdjusted
Physician work0.65× 1.0000.6500
Practice expense0.67× 0.9240.6191
Malpractice0.07× 0.8500.0595
Total RVUs1.3286
Conversion factor× 33.4009

Office rate, South Carolina$44.38

Office: (0.65 × 1 + 0.67 × 0.924 + 0.07 × 0.85) × $33.4009 = $44.38

Facility: (0.65 × 1 + 0.16 × 0.924 + 0.07 × 0.85) × $33.4009 = $28.64

Open 62368 in the RVU calculator

Payment rules and modifiers for 62368

62368 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 62368

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$46.43

Non-facility (office)
$46.43
Facility
$29.39

Higher because the practice carries its own overhead.

Codes related to 62368

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

Codes related to 62368
CodeHow it relatesOffice range, South Carolina
Used instead
62367Pump analysis, without reprogrammingPump analysis without a programming change.$31.93
62369Pump management, refill and reprogrammingRefill-and-maintenance service with pump analysis and reprogramming.$91.29
62370Pump refill, professional reprogrammingRefill-and-maintenance service with pump analysis and reprogramming.$91.85

How 62368 has changed in South Carolina

62368 · Office / nonfacility

$44.38

Effective 2026-10-01

The base rate is $3.14 higher than on 2025-10-01, moving from $41.24 to $44.38 (7.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $41.24changed to$44.38

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.67 changed to 0.65
    • Practice expense RVU 0.60 changed to 0.67
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $42.11changed to$41.24

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.58 changed to 0.60
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $41.42changed to$42.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $41.98changed to$41.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.56 changed to 0.58
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817

  5. January 1, 2023

    RVU23A

    $42.54changed to$41.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.55 changed to 0.56
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $42.89changed to$42.54

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $43.56changed to$42.89

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.53 changed to 0.55
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $52.82changed to$43.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.83 changed to 0.53
    • Malpractice RVU 0.07 changed to 0.09
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $54.73changed to$52.82

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.89 changed to 0.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $53.79changed to$54.73

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.86 changed to 0.89
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $54.52changed to$53.79

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.88 changed to 0.86
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $54.46changed to$54.52

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $54.18changed to$54.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $53.61changed to$54.18

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.04 changed to 0.06
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $53.81changed to$53.61

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.98 changed to 0.88
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $53.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$44.38$28.64RVU26D
2026-07-01$44.38$28.64RVU26C
2026-04-01$44.38$28.64RVU26B
2026-01-01$44.38$28.64RVU26A
2025-10-01$41.24$31.79RVU25D
2025-07-01$41.24$31.79RVU25C
2025-04-01$41.24$31.79RVU25B
2025-01-01$41.24$31.79RVU25A
2024-10-01$42.11$32.68RVU24D
2024-07-01$42.11$32.68RVU24C
2024-04-01$42.11$32.68RVU24B
2024-03-09$42.11$32.68RVU24AR
2024-01-01$41.42$32.15RVU24A
2023-10-01$41.98$33.06RVU23D
2023-07-01$41.98$33.06RVU23C
2023-04-01$41.98$33.06RVU23B
2023-01-01$41.98$33.06RVU23A
2022-10-01$42.54$33.79RVU22D
2022-07-01$42.54$33.79RVU22C
2022-04-01$42.54$33.79RVU22B
2022-01-01$42.54$33.79RVU22A
2021-10-01$42.89$34.07RVU21D
2021-07-01$42.89$34.07RVU21C
2021-04-01$42.89$34.07RVU21B
2021-01-01$42.89$34.07RVU21A
2020-10-01$43.56$35.04RVU20D
2020-07-01$43.56$35.04RVU20C
2020-04-01$43.56$35.04RVU20B
2020-01-01$43.56$35.04RVU20A
2019-10-01$52.82$34.42RVU19D
2019-07-01$52.82$34.42RVU19C
2019-04-01$52.82$34.42RVU19B
2019-01-01$52.82$34.42RVU19A
2018-10-01$54.73$34.38RVU18D
2018-07-01$54.73$34.38RVU18C
2018-04-01$54.73$34.38RVU18B
2018-01-01$54.73$34.38RVU18AR1
2017-10-01$53.79$34.48RVU17D
2017-07-01$53.79$34.48RVU17C
2017-04-01$53.79$34.48RVU17B
2017-01-01$53.79$34.48RVU17A
2016-10-01$54.52$34.92RVU16D
2016-07-01$54.52$34.92RVU16C
2016-04-01$54.52$34.92RVU16B
2016-01-01$54.52$34.92RVU16A
2015-10-01$54.46$34.79RVU15D
2015-07-01$54.46$34.79RVU15C
2015-04-01$54.18$34.62RVU15B
2015-01-01$54.18$34.62RVU15A
2014-10-01$53.61$34.02RVU14D
2014-07-01$53.61$34.02RVU14C
2014-04-01$53.61$34.02RVU14B
2014-01-01$53.61$34.02RVU14A
2013-10-01$53.81$33.09RVU13D
2013-07-01$53.81$33.09RVU13C
2013-04-01$53.81$33.09RVU13B
2013-01-01$53.81$33.09RVU13AR

Price 62368 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

62368 billing questions

How does 62368 differ from 62367?

62368 includes an actual change to the pump’s programmed settings. Use 62367 when the pump is analyzed but no reprogramming is performed.

Does 62368 include a pump refill?

No. It covers analysis with reprogramming, not refill and maintenance. When the service includes refill and maintenance, use the applicable code from the 62369–62370 family.

What documentation supports 62368?

Document the implanted pump and treatment indication, interrogation findings, settings before and after the adjustment, and the clinical reason for changing the program.

Can 62368 be reported with 62369 or 62370 for the same pump service?

Do not report 62368 separately for programming work included in a refill-and-maintenance service. Choose the code that represents the service actually performed.

What clinical situations commonly lead to reprogramming?

Examples include adjusting intrathecal analgesia for chronic pain or baclofen delivery for spasticity in response to symptoms, treatment response, or medication effects.

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 62368PPRRVU2026_Oct_nonQPP.csv, line 6,984 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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