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

In South Dakota, Medicare pays $44.87 for 62368 in the office and $27.84 when it’s performed in a hospital or facility.

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.

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 Dakota 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 Dakota pays $44.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

62368 rates by state

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

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.

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.

Codes related to 62368

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

How 62368 has changed in South Dakota

Price 62368 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• 62368 in Aberdeen
• 62368 in Agar
• 62368 in Agency Village
• 62368 in Akaska
• 62368 in Albee
• 62368 in Alcester
• 62368 in Alexandria
• 62368 in Allen

Browse all communities in South Dakota

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