CPT code 62370: Pump refill, professional reprogramming2026 Medicare rate & RVUs

Medicare pays $97.20 for 62370 nationally in the office and $39.41 in a hospital or facility. Local office rates run $86.72–$127.98.

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

What 62370 covers

A physician or other qualified health care professional analyzes a programmable implanted pump that delivers medication into the intrathecal or epidural space, changes its programmed settings, and refills its reservoir. Typical examples include pumps delivering intrathecal baclofen for severe spasticity or medication for chronic pain. The work includes checking pump status and settings, performing the refill, and programming the prescribed infusion plan. These services are commonly provided in an office or hospital outpatient setting by clinicians managing implanted drug-delivery systems.

Report 62370 when the physician or qualified professional performs the analysis, reprogramming, and refill. The record should support the implanted pump and its medication, the device assessment and settings, the refill performed, and the programming changes made. Distinguish this service from pump analysis with reprogramming but no refill, and from the corresponding refill service performed by clinical staff.

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 62370 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

62370 rates by state

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

How the 62370 rate is calculated

Each of 62370’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 62370

62370 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.

62370 compared with similar codes

How to choose

62369Pump managementRefill and reprogramming

Both include pump analysis, reprogramming, and refill. The distinction is who performs the service: 62370 is for a physician or qualified professional, while 62369 is for clinical staff.

62368Pump analysisWith reprogramming

Use 62368 for analysis and reprogramming without a reservoir refill. Use 62370 when the service also includes a refill.

62367Pump analysisWithout reprogramming

62367 describes analysis without reprogramming. 62370 includes reprogramming and a refill performed by a physician or qualified professional.

Codes related to 62370

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