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

Reports electronic analysis, reprogramming, and medication-reservoir refill of an implanted intrathecal or epidural infusion pump.

CMS RVU26DEffective Oct 1, 2026One payment locality18.2K Medicare services in 2024

In Portland, OR, Medicare pays $105.06 for 62369 in the office and $30.11 when it’s performed in a hospital or facility.

$105.06Office (non-facility)
$30.11Hospital or facility
+8.1%vs the national office rate ($97.20)

Check a contract rate as a % of Medicare · 62369 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 62369 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Portland, OR
  2. What 62369 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 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.

How Portland, OR compares for 62369

Across 109 of 109 payment localities, the office rate for 62369 runs from $85.75 in Arkansas to $130.83 in San Benito County, CA. Portland, OR pays $105.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

62369 in Portland, OR vs other payment areas
  1. Portland, OR · this page$105.06
  2. Rest of Oregon · Oregon$96.21−$8.85
  3. Los Angeles, CA · California$110.69+$5.63
  4. Washington, DC area · District of Columbia$111.65+$6.59
  5. Miami, FL · Florida$103.77−$1.29
  6. Chicago, IL · Illinois$100.74−$4.32
  7. Manhattan, NY · New York$111.81+$6.75

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

Every other payment area

62369 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$111.76$39.90
AlabamaAlabama$87.04$28.00
ArkansasArkansas$85.75$27.79
ArizonaArizona$94.59$29.21
Bakersfield, CACalifornia$103.72$29.77
Chico, CACalifornia$103.50$29.56
El Centro, CACalifornia$103.51$29.57
Fresno, CACalifornia$103.50$29.56

62369 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.

$85.75

$117.17

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

View every state and territory as a table
62369 office rate range by state
State / territoryOffice rate rangeLocalities
AK$111.761
AL$87.041
AR$85.751
AZ$94.591
CA$103.50–$130.8329
CO$101.631
CT$103.751
DC$111.651
DE$96.191
FL$95.15–$103.773
GA$89.75–$98.902
GU$106.231
HI$106.231
IA$89.571
ID$90.111
IL$92.15–$101.134
IN$90.661
KS$89.011
KY$88.881
LA$88.69–$93.202
MA$100.95–$112.022
MD$98.10–$111.653
ME$90.46–$95.682
MI$91.13–$96.242
MN$97.671
MO$87.04–$93.693
MS$86.421
MT$97.191
NC$91.451
ND$95.811
NE$90.111
NH$99.901
NJ$105.02–$110.432
NM$91.601
NV$96.881
NY$92.84–$114.415
OH$90.851
OK$88.851
OR$96.21–$105.062
PA$91.07–$101.042
PR$97.971
RI$99.771
SC$91.291
SD$95.641
TN$89.461
TX$90.45–$101.228
UT$92.571
VA$95.27–$111.652
VI$97.971
VT$95.311
WA$100.80–$114.462
WI$92.511
WV$88.621
WY$96.591

See 62369 in every payment locality

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.

How the rate is built · 62369

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.65

0.65 RVUs× 1.000 GPCI

Practice expense2.19

2.19 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

2.9100

Conversion factor

$33.4009

Medicare rate

$97.20

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

The exact Portland, OR inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,985

Code
62369
Physician work
0.65
Practice expense
2.19
Malpractice
0.07

GPCI2026.csv

87

Locality
Portland, OR
Physician work
1.016
Practice expense
1.111
Malpractice
0.744
Office calculation for 62369 in Portland, OR
ComponentRVULocality factorAdjusted
Physician work0.65× 1.0160.6604
Practice expense2.19× 1.1112.4331
Malpractice0.07× 0.7440.0521
Total RVUs3.1456
Conversion factor× 33.4009

Office rate, Portland, OR$105.06

Office: (0.65 × 1.016 + 2.19 × 1.111 + 0.07 × 0.744) × $33.4009 = $105.06

Facility: (0.65 × 1.016 + 0.17 × 1.111 + 0.07 × 0.744) × $33.4009 = $30.11

Open 62369 in the RVU calculator

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.

Place of service · 62369

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$97.20

Non-facility (office)
$97.20
Facility
$29.73

Higher because the practice carries its own overhead.

How 62369 has changed in Portland, OR

62369 · Office / nonfacility

$105.06

Effective 2026-10-01

The base rate is $10.19 higher than on 2025-10-01, moving from $94.87 to $105.06 (10.7%).

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

    $94.87changed to$105.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.67 changed to 0.65
    • Practice expense RVU 2.00 changed to 2.19
    • Work GPCI 1.013 changed to 1.016
    • Practice expense GPCI 1.103 changed to 1.111
    • Malpractice GPCI 0.688 changed to 0.744

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $98.59changed to$94.87

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.02 changed to 2.00
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $96.98changed to$98.59

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $98.17changed to$96.98

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.00 changed to 2.02
    • Work GPCI 1.018 changed to 1.013
    • Practice expense GPCI 1.083 changed to 1.103
    • Malpractice GPCI 0.612 changed to 0.688
  5. January 1, 2023

    RVU23A

    $98.94changed to$98.17

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.09 changed to 0.08
    • Work GPCI 1.022 changed to 1.018
    • Practice expense GPCI 1.063 changed to 1.083
    • Malpractice GPCI 0.535 changed to 0.612

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $103.09changed to$98.94

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.09 changed to 2.00

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $102.00changed to$103.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.97 changed to 2.09
    • Work GPCI 1.016 changed to 1.022
    • Practice expense GPCI 1.059 changed to 1.063
    • Malpractice GPCI 0.659 changed to 0.535

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $125.12changed to$102.00

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.60 changed to 1.97
    • Malpractice RVU 0.07 changed to 0.09
    • Work GPCI 1.010 changed to 1.016
    • Practice expense GPCI 1.054 changed to 1.059
    • Malpractice GPCI 0.783 changed to 0.659

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $127.64changed to$125.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.67 changed to 2.60

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $125.03changed to$127.64

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.62 changed to 2.67
    • Work GPCI 1.008 changed to 1.010
    • Practice expense GPCI 1.052 changed to 1.054
    • Malpractice GPCI 0.746 changed to 0.783

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $126.92changed to$125.03

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.69 changed to 2.62
    • Work GPCI 1.005 changed to 1.008
    • Practice expense GPCI 1.049 changed to 1.052
    • Malpractice GPCI 0.708 changed to 0.746

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $127.50changed to$126.92

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.70 changed to 2.69
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $126.86changed to$127.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $125.59changed to$126.86

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.68 changed to 2.70
    • Malpractice RVU 0.04 changed to 0.06
    • Practice expense GPCI 1.047 changed to 1.049
    • Malpractice GPCI 0.667 changed to 0.708

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $133.16changed to$125.59

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.08 changed to 2.68
    • Practice expense GPCI 1.044 changed to 1.047
    • Malpractice GPCI 0.625 changed to 0.667

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $133.16

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$105.06$30.11RVU26D
2026-07-01$105.06$30.11RVU26C
2026-04-01$105.06$30.11RVU26B
2026-01-01$105.06$30.11RVU26A
2025-10-01$94.87$33.86RVU25D
2025-07-01$94.87$33.86RVU25C
2025-04-01$94.87$33.86RVU25B
2025-01-01$94.87$33.86RVU25A
2024-10-01$98.59$35.07RVU24D
2024-07-01$98.59$35.07RVU24C
2024-04-01$98.59$35.07RVU24B
2024-03-09$98.59$35.07RVU24AR
2024-01-01$96.98$34.50RVU24A
2023-10-01$98.17$35.05RVU23D
2023-07-01$98.17$35.05RVU23C
2023-04-01$98.17$35.05RVU23B
2023-01-01$98.17$35.05RVU23A
2022-10-01$98.94$35.66RVU22D
2022-07-01$98.94$35.66RVU22C
2022-04-01$98.94$35.66RVU22B
2022-01-01$98.94$35.66RVU22A
2021-10-01$103.09$35.96RVU21D
2021-07-01$103.09$35.96RVU21C
2021-04-01$103.09$35.96RVU21B
2021-01-01$103.09$35.96RVU21A
2020-10-01$102.00$37.03RVU20D
2020-07-01$102.00$37.03RVU20C
2020-04-01$102.00$37.03RVU20B
2020-01-01$102.00$37.03RVU20A
2019-10-01$125.12$36.62RVU19D
2019-07-01$125.12$36.62RVU19C
2019-04-01$125.12$36.62RVU19B
2019-01-01$125.12$36.62RVU19A
2018-10-01$127.64$36.58RVU18D
2018-07-01$127.64$36.58RVU18C
2018-04-01$127.64$36.58RVU18B
2018-01-01$127.64$36.58RVU18AR1
2017-10-01$125.03$36.68RVU17D
2017-07-01$125.03$36.68RVU17C
2017-04-01$125.03$36.68RVU17B
2017-01-01$125.03$36.68RVU17A
2016-10-01$126.92$36.78RVU16D
2016-07-01$126.92$36.78RVU16C
2016-04-01$126.92$36.78RVU16B
2016-01-01$126.92$36.78RVU16A
2015-10-01$127.50$36.65RVU15D
2015-07-01$127.50$36.65RVU15C
2015-04-01$126.86$36.47RVU15B
2015-01-01$126.86$36.47RVU15A
2014-10-01$125.59$36.33RVU14D
2014-07-01$125.59$36.33RVU14C
2014-04-01$125.59$36.33RVU14B
2014-01-01$125.59$36.33RVU14A
2013-10-01$133.16$34.77RVU13D
2013-07-01$133.16$34.77RVU13C
2013-04-01$133.16$34.77RVU13B
2013-01-01$133.16$34.77RVU13AR

Price 62369 for an earlier date of service

Where the Portland, OR rate applies

Portland, OR is a Medicare payment area, not a city. Our Census mapping connects it to 60 cities and communities in Oregon. Some span more than one payment area; confirm with the service ZIP.

  • Portland
  • Aloha
  • Banks
  • Barlow
  • Beavercreek
  • Beaverton
  • Bethany
  • Boring

Browse all communities in Oregon

62369 billing questions

When should 62369 be chosen instead of 62368?

Use 62369 when the pump is reprogrammed and its reservoir is refilled. Code 62368 describes pump analysis with reprogramming but without a refill.

How does 62369 differ from 62370?

Both describe pump analysis with reprogramming and refill. The distinction is whether the service requires physician or other qualified health care professional skill; select the code supported by the performer and documented work.

Does this code include the pump analysis and refill?

Yes. The reported service includes electronic pump analysis, reprogramming, and reservoir refill when all three are performed.

What documentation supports 62369?

Document the pump status reviewed, the programming change, the medication and refill amount, and who performed the work. The record should establish that a refill and reprogramming occurred during the service.

Can 62369 be reported when the pump is only checked?

No. Analysis without reprogramming or refill is represented by 62367; analysis with reprogramming but no refill is represented by 62368.

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 62369PPRRVU2026_Oct_nonQPP.csv, line 6,985 (RVU26D)
Geographic factors for Portland, ORGPCI2026.csv, line 87 (RVU26D)

Open CMS sourceHow we calculate rates

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