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

Reports physician- or qualified professional-performed analysis, reprogramming, and refill of a programmable implanted pump delivering intrathecal or epidural medication.

CMS RVU26DEffective Oct 1, 2026One payment locality76.6K Medicare services in 2024

In Puerto Rico, Medicare pays $97.87 for 62370 in the office and $39.45 when it’s performed in a hospital or facility.

$97.87Office (non-facility)
$39.45Hospital or facility
+0.7%vs the national office rate ($97.20)

Check a contract rate as a % of Medicare · 62370 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 62370 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 62370 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 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.

How Puerto Rico compares for 62370

Across 109 of 109 payment localities, the office rate for 62370 runs from $86.72 in Arkansas to $127.98 in San Benito County, CA. Puerto Rico pays $97.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

62370 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$97.87
  2. Los Angeles, CA · California$109.42+$11.55
  3. Washington, DC area · District of Columbia$110.68+$12.81
  4. Miami, FL · Florida$103.95+$6.08
  5. Chicago, IL · Illinois$101.19+$3.32
  6. Manhattan, NY · New York$111.19+$13.32
  7. Alaska · Alaska$114.93+$17.06

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

Every other payment area

62370 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$87.90$37.33
ArkansasArkansas$86.72$37.08
ArizonaArizona$94.79$38.80
Bakersfield, CACalifornia$102.96$39.63
Chico, CACalifornia$102.71$39.38
El Centro, CACalifornia$102.72$39.39
Fresno, CACalifornia$102.71$39.38
Hanford, CACalifornia$102.71$39.38

62370 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.

$86.72

$115.35

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

View every state and territory as a table
62370 office rate range by state
State / territoryOffice rate rangeLocalities
AK$114.931
AL$87.901
AR$86.721
AZ$94.791
CA$102.71–$127.9829
CO$101.131
CT$103.361
DC$110.681
DE$96.291
FL$95.67–$103.953
GA$90.68–$98.862
GU$104.991
HI$104.991
IA$90.051
ID$90.581
IL$93.03–$101.224
IN$91.071
KS$89.621
KY$89.741
LA$89.59–$93.722
MA$100.58–$110.742
MD$98.05–$110.683
ME$90.98–$95.622
MI$91.87–$96.752
MN$97.201
MO$88.14–$94.083
MS$87.451
MT$97.191
NC$91.871
ND$95.611
NE$90.521
NH$99.531
NJ$104.62–$109.652
NM$92.331
NV$96.821
NY$93.15–$113.685
OH$91.551
OK$89.631
OR$96.14–$104.212
PA$91.71–$100.912
PR$97.871
RI$99.621
SC$91.851
SD$95.421
TN$90.031
TX$91.15–$100.738
UT$93.021
VA$95.30–$110.682
VI$97.871
VT$95.231
WA$100.39–$112.962
WI$92.611
WV$89.821
WY$96.501

See 62370 in every payment locality

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.

How the rate is built · 62370

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.88

0.88 RVUs× 1.000 GPCI

Practice expense1.95

1.95 RVUs× 1.000 GPCI

Malpractice0.08

0.08 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 Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,986

Code
62370
Physician work
0.88
Practice expense
1.95
Malpractice
0.08

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 62370 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.88× 1.0000.8800
Practice expense1.95× 1.0111.9714
Malpractice0.08× 0.9850.0788
Total RVUs2.9303
Conversion factor× 33.4009

Office rate, Puerto Rico$97.87

Office: (0.88 × 1 + 1.95 × 1.011 + 0.08 × 0.985) × $33.4009 = $97.87

Facility: (0.88 × 1 + 0.22 × 1.011 + 0.08 × 0.985) × $33.4009 = $39.45

Open 62370 in the RVU calculator

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.

Place of service · 62370

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
$39.41

Higher because the practice carries its own overhead.

How 62370 has changed in Puerto Rico

62370 · Office / nonfacility

$97.87

Effective 2026-10-01

The base rate is $8.58 higher than on 2025-10-01, moving from $89.29 to $97.87 (9.6%).

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

    $89.29changed to$97.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.90 changed to 0.88
    • Practice expense RVU 1.75 changed to 1.95
    • Malpractice RVU 0.10 changed to 0.08
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $92.56changed to$89.29

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.77 changed to 1.75

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $91.05changed to$92.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $94.29changed to$91.05

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982
  5. October 1, 2023

    RVU23D

    $93.87changed to$94.29

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984
  6. January 1, 2023

    RVU23A

    $96.65changed to$93.87

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.78 changed to 1.77
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $101.67changed to$96.65

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.90 changed to 1.78

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $102.63changed to$101.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.84 changed to 1.90
    • Malpractice RVU 0.09 changed to 0.10
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $125.66changed to$102.63

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.49 changed to 1.84
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $130.23changed to$125.66

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.62 changed to 2.49

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $113.10changed to$130.23

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.57 changed to 2.62
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $99.30changed to$113.10

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.62 changed to 2.57
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $99.91changed to$99.30

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.63 changed to 2.62

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $99.42changed to$99.91

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $97.52changed to$99.42

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.61 changed to 2.63
    • Malpractice RVU 0.06 changed to 0.09
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $100.10changed to$97.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.99 changed to 2.61
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $100.10

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$97.87$39.45RVU26D
2026-07-01$97.87$39.45RVU26C
2026-04-01$97.87$39.45RVU26B
2026-01-01$97.87$39.45RVU26A
2025-10-01$89.29$44.34RVU25D
2025-07-01$89.29$44.34RVU25C
2025-04-01$89.29$44.34RVU25B
2025-01-01$89.29$44.34RVU25A
2024-10-01$92.56$45.29RVU24D
2024-07-01$92.56$45.29RVU24C
2024-04-01$92.56$45.29RVU24B
2024-03-09$92.56$45.29RVU24AR
2024-01-01$91.05$44.56RVU24A
2023-10-01$94.29$46.13RVU23D
2023-07-01$93.87$46.09RVU23C
2023-04-01$93.87$46.09RVU23B
2023-01-01$93.87$46.09RVU23A
2022-10-01$96.65$46.77RVU22D
2022-07-01$96.65$46.77RVU22C
2022-04-01$96.65$46.77RVU22B
2022-01-01$96.65$46.77RVU22A
2021-10-01$101.67$47.51RVU21D
2021-07-01$101.67$47.51RVU21C
2021-04-01$101.67$47.51RVU21B
2021-01-01$101.67$47.51RVU21A
2020-10-01$102.63$48.42RVU20D
2020-07-01$102.63$48.42RVU20C
2020-04-01$102.63$48.42RVU20B
2020-01-01$102.63$48.42RVU20A
2019-10-01$125.66$47.99RVU19D
2019-07-01$125.66$47.99RVU19C
2019-04-01$125.66$47.99RVU19B
2019-01-01$125.66$47.99RVU19A
2018-10-01$130.23$48.30RVU18D
2018-07-01$130.23$48.30RVU18C
2018-04-01$130.23$48.30RVU18B
2018-01-01$130.23$48.30RVU18AR1
2017-10-01$113.10$44.90RVU17D
2017-07-01$113.10$44.90RVU17C
2017-04-01$113.10$44.90RVU17B
2017-01-01$113.10$44.90RVU17A
2016-10-01$99.30$42.26RVU16D
2016-07-01$99.30$42.26RVU16C
2016-04-01$99.30$42.26RVU16B
2016-01-01$99.30$42.26RVU16A
2015-10-01$99.91$42.41RVU15D
2015-07-01$99.91$42.41RVU15C
2015-04-01$99.42$42.20RVU15B
2015-01-01$99.42$42.20RVU15A
2014-10-01$97.52$42.00RVU14D
2014-07-01$97.52$42.00RVU14C
2014-04-01$97.52$42.00RVU14B
2014-01-01$97.52$42.00RVU14A
2013-10-01$100.10$40.82RVU13D
2013-07-01$100.10$40.82RVU13C
2013-04-01$100.10$40.82RVU13B
2013-01-01$100.10$40.82RVU13AR

Price 62370 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

62370 billing questions

How does 62370 differ from 62369?

Both describe pump analysis with reprogramming and refill. Use 62370 when a physician or other qualified health care professional performs the service; 62369 is the clinical-staff service.

Can 62370 be used when the pump is reprogrammed but not refilled?

No. This code includes a refill. For analysis with reprogramming but no refill, consider 62368.

Which code describes pump analysis without a programming change?

62367 describes electronic analysis without reprogramming. It does not represent the refill-and-reprogramming service reported with 62370.

What documentation supports 62370?

Document the pump and medication, the analysis findings, reservoir refill, and the programming changes made by the physician or qualified professional.

Does this code cover pumps delivering medication into the epidural space?

Yes. The code covers programmable implanted pumps used for intrathecal or epidural drug infusion.

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 62370PPRRVU2026_Oct_nonQPP.csv, line 6,986 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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