CPT code 62369: Pump management, refill and reprogramming2026 Medicare rate & RVUs

Medicare pays $97.20 for 62369 nationally in the office and $29.73 in a hospital or facility. Local office rates run $85.75–$130.83.

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

What 62369 covers

This service covers electronic interrogation of an implanted programmable pump that delivers medication into the intrathecal or epidural space, review of its operating information, adjustment of its settings, and refill of its reservoir. It is used for patients with implanted systems delivering medication such as intrathecal baclofen or pain medication. Pain specialists, neurosurgeons, and other clinicians who manage these pumps commonly provide the service in an office or facility setting.

Report 62369 when the encounter includes the pump analysis, a programming change, and a refill, and the work meets this code’s provider-performance criteria. The distinction from 62370 is whether the service requires physician or other qualified health care professional skill; match the code to who performed the work and the documentation. The record should support the pump’s status review, the programming performed, the medication and amount used to refill the reservoir, and the clinical need for the visit. This code represents the combined refill-and-reprogramming service, not analysis alone or analysis with programming but no refill.

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.

Where 62369 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

62369 rates by state

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

How the 62369 rate is calculated

Each of 62369’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 62369

62369 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.

62369 compared with similar codes

How to choose

62367Pump analysisWithout reprogramming

Choose 62367 when the pump is analyzed but neither reprogrammed nor refilled. It does not describe the combined refill-and-reprogramming service.

62368Pump analysisWith reprogramming

Choose 62368 when analysis and reprogramming occur without a reservoir refill. A refill during the service points to the refill-and-reprogramming code family.

62370Pump refillProfessional reprogramming

Both codes include pump analysis, reprogramming, and refill. Distinguish them by whether the service requires physician or other qualified health care professional skill and by who performed the work.

Codes related to 62369

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

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