CPT code 96522: Pump refill, implantable systemic delivery2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $125.25 for 96522 in the office.

Check a contract rate as a % of Medicare · 96522 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 96522 covers

This service covers accessing an implanted drug-delivery pump or reservoir, replenishing its medication supply, and performing the associated maintenance. It is used for implanted systems delivering medication through routes such as intravenous or intra-arterial access; an oncology example is a hepatic artery infusion pump. A physician or clinical staff member may perform the work in an office setting, with billing subject to the physician-supervision requirement described below.

Choose this code for an implanted system delivering medication systemically, rather than a portable pump or a pump delivering medication into the spinal or brain spaces. Document the implanted device and delivery route, the refill and maintenance performed, the medication and amount placed in the reservoir, and relevant pump checks. Under the CMS rule, this is an incident-to service and may be billed only when performed under physician supervision.

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 Montana compares for 96522

Across 109 of 109 payment localities, the office rate for 96522 runs from $107.78 in Arkansas to $176.17 in San Benito County, CA. Montana pays $125.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

96522 rates by state

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

See 96522 in every payment locality

How the 96522 rate is calculated

Each of 96522’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 96522

The CMS indicators that decide how 96522 is paid alongside other services.

Codes related to 96522

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

How 96522 has changed in Montana

Price 96522 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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