Use 62367 when the pump is analyzed without changing its settings. Use 62368 when the clinician reprograms the pump.
On this page
CMS RVU26D · Effective 2026-10-01
62367 Pump analysis Medicare reimbursement rates
Report 62367 when a clinician electronically checks a programmable implanted intrathecal or epidural infusion pump without changing its settings or refilling it. Compare 62367 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 62367?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$30.33–$41.54
109 of 109 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 62367 pays more and less
109 payment localities
$30.33 to $41.54
Pain management
About 62367: Implanted spinal infusion pump analysis
Report 62367 when a clinician electronically checks a programmable implanted intrathecal or epidural infusion pump without changing its settings or refilling it.
A clinician uses the pump programmer to interrogate a programmable implanted pump that delivers medication into the intrathecal or epidural space. The analysis may be part of a scheduled pump check or evaluation of an alarm or suspected delivery issue. Pain management physicians and other qualified clinicians commonly perform this service in a pain clinic, office, or hospital setting. The code describes analysis without reprogramming; it is not the code for implanting or removing a pump.
Select 62367 when the documented service is electronic analysis only: the clinician reviews pump information but does not change the programmed settings or refill the reservoir. The record should identify the pump and document the analysis performed and its findings. If the clinician reprograms the device, consider 62368; if the service also includes reprogramming and a refill, consider the applicable refill-and-reprogramming code instead. Report the service actually performed, not a planned or discussed change.
Where the value comes from
- Work RVU0.47 · 47%
- Practice expense (office) RVU0.48 · 48%
- Malpractice RVU0.05 · 5%
6.7K
Medicare services in 2024 · #1685 by national volume
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.
62367 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
62369 covers pump analysis with reprogramming and refill; 62367 is for analysis without either.
62370 is another code for pump analysis with reprogramming and refill. Choose it rather than 62367 when the documented service matches that fuller service.
See how rates vary across the country
62367 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$30.33
$41.54
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $41.54 | 1 |
| AL | $30.67 | 1 |
| AR | $30.33 | 1 |
| AZ | $32.66 | 1 |
| CA | $34.43–$41.44 | 29 |
| CO | $34.25 | 1 |
| CT | $35.30 | 1 |
| DC | $37.29 | 1 |
| DE | $33.12 | 1 |
| FL | $33.54–$36.61 | 3 |
| GA | $31.99–$34.04 | 2 |
| GU | $34.89 | 1 |
| HI | $34.89 | 1 |
| IA | $31.03 | 1 |
| ID | $31.24 | 1 |
| IL | $32.95–$35.75 | 4 |
| IN | $31.37 | 1 |
| KS | $31.03 | 1 |
| KY | $31.48 | 1 |
| LA | $31.49–$32.68 | 2 |
| MA | $34.16–$36.97 | 2 |
| MD | $33.61–$37.29 | 3 |
| ME | $31.49–$32.64 | 2 |
| MI | $32.22–$33.99 | 2 |
| MN | $32.69 | 1 |
| MO | $31.15–$32.63 | 3 |
| MS | $30.74 | 1 |
| MT | $33.40 | 1 |
| NC | $31.72 | 1 |
| ND | $32.41 | 1 |
| NE | $31.13 | 1 |
| NH | $33.85 | 1 |
| NJ | $35.67–$37.07 | 2 |
| NM | $32.41 | 1 |
| NV | $33.14 | 1 |
| NY | $32.10–$38.87 | 5 |
| OH | $32.02 | 1 |
| OK | $31.31 | 1 |
| OR | $32.84–$35.00 | 2 |
| PA | $31.99–$34.66 | 2 |
| PR | $33.55 | 1 |
| RI | $34.05 | 1 |
| SC | $31.93 | 1 |
| SD | $32.29 | 1 |
| TN | $31.17 | 1 |
| TX | $31.84–$34.17 | 8 |
| UT | $32.27 | 1 |
| VA | $32.64–$37.29 | 2 |
| VI | $33.55 | 1 |
| VT | $32.42 | 1 |
| WA | $34.06–$37.52 | 2 |
| WI | $31.57 | 1 |
| WV | $32.02 | 1 |
| WY | $32.97 | 1 |
Compare 62367 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $30.67 | Facility $20.15 |
| Alaska* | Office $41.54 | Facility $28.74 |
| Arizona | Office $32.66 | Facility $21.01 |
| Arkansas | Office $30.33 | Facility $20.00 |
| Atlanta | Office $34.04 | Facility $21.82 |
| Austin | Office $34.17 | Facility $21.45 |
| Bakersfield | Office $34.59 | Facility $21.41 |
| Baltimore/Surr. Cntys | Office $35.22 | Facility $22.32 |
| Beaumont | Office $31.84 | Facility $20.90 |
| Brazoria | Office $33.01 | Facility $21.10 |
| Chicago | Office $35.75 | Facility $23.67 |
| Chico | Office $34.43 | Facility $21.25 |
| Colorado | Office $34.25 | Facility $21.46 |
| Connecticut | Office $35.30 | Facility $22.35 |
| Dallas | Office $33.24 | Facility $21.26 |
| Dc + Md/Va Suburbs | Office $37.29 | Facility $23.13 |
| Delaware | Office $33.12 | Facility $21.24 |
| Detroit | Office $33.99 | Facility $22.38 |
| East St. Louis | Office $33.81 | Facility $22.75 |
| El Centro | Office $34.44 | Facility $21.26 |
| Fort Lauderdale | Office $34.96 | Facility $22.78 |
| Fort Worth | Office $33.10 | Facility $21.25 |
| Fresno | Office $34.43 | Facility $21.25 |
| Galveston | Office $33.13 | Facility $21.19 |
| Hanford-Corcoran | Office $34.43 | Facility $21.25 |
| Hawaii, Guam | Office $34.89 | Facility $21.22 |
| Houston | Office $34.04 | Facility $22.10 |
| Idaho | Office $31.24 | Facility $20.18 |
| Indiana | Office $31.37 | Facility $20.23 |
| Iowa | Office $31.03 | Facility $20.03 |
| Kansas | Office $31.03 | Facility $20.16 |
| Kentucky | Office $31.48 | Facility $20.79 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $36.42 | Facility $22.19 |
| Madera | Office $34.43 | Facility $21.25 |
| Manhattan | Office $37.98 | Facility $24.01 |
| Merced | Office $34.43 | Facility $21.25 |
| Metropolitan Boston | Office $36.97 | Facility $22.61 |
| Metropolitan Kansas City | Office $32.38 | Facility $21.09 |
| Metropolitan Philadelphia | Office $34.66 | Facility $22.15 |
| Metropolitan St. Louis | Office $32.63 | Facility $21.19 |
| Miami | Office $36.61 | Facility $24.09 |
| Minnesota | Office $32.69 | Facility $20.32 |
| Mississippi | Office $30.74 | Facility $20.38 |
| Modesto | Office $34.43 | Facility $21.25 |
| Montana** | Office $33.40 | Facility $21.37 |
| Napa | Office $38.67 | Facility $22.82 |
| Nebraska | Office $31.13 | Facility $20.03 |
| Nevada** | Office $33.14 | Facility $21.10 |
| New Hampshire | Office $33.85 | Facility $21.33 |
| New Mexico | Office $32.41 | Facility $21.38 |
| New Orleans | Office $32.68 | Facility $21.37 |
| North Carolina | Office $31.72 | Facility $20.51 |
| North Dakota** | Office $32.41 | Facility $20.38 |
| Northern Nj | Office $37.07 | Facility $23.12 |
| Nyc Suburbs/Long Island | Office $38.87 | Facility $24.57 |
| Ohio | Office $32.02 | Facility $21.04 |
| Oklahoma | Office $31.31 | Facility $20.58 |
| Oxnard-Thousand Oaks-Ventura | Office $36.13 | Facility $21.92 |
| Portland | Office $35.00 | Facility $21.65 |
| Poughkpsie/N Nyc Suburbs | Office $35.98 | Facility $22.81 |
| Puerto Rico | Office $33.55 | Facility $21.40 |
| Queens | Office $38.06 | Facility $23.85 |
| Redding | Office $34.43 | Facility $21.25 |
| Rest Of California | Office $34.43 | Facility $21.25 |
| Rest Of Florida | Office $33.54 | Facility $22.04 |
| Rest Of Georgia | Office $31.99 | Facility $21.26 |
| Rest Of Illinois | Office $32.95 | Facility $21.97 |
| Rest Of Louisiana | Office $31.49 | Facility $20.85 |
| Rest Of Maine | Office $31.49 | Facility $20.42 |
| Rest Of Maryland | Office $33.61 | Facility $21.44 |
| Rest Of Massachusetts | Office $34.16 | Facility $21.50 |
| Rest Of Michigan | Office $32.22 | Facility $21.24 |
| Rest Of Missouri | Office $31.15 | Facility $20.78 |
| Rest Of New Jersey | Office $35.67 | Facility $22.54 |
| Rest Of New York | Office $32.10 | Facility $20.68 |
| Rest Of Oregon | Office $32.84 | Facility $20.86 |
| Rest Of Pennsylvania | Office $31.99 | Facility $20.96 |
| Rest Of Texas | Office $32.42 | Facility $21.01 |
| Rest Of Washington | Office $34.06 | Facility $21.39 |
| Rhode Island | Office $34.05 | Facility $21.63 |
| Riverside-San Bernardino-Ontario | Office $34.98 | Facility $21.80 |
| Sacramento-Roseville-Folsom | Office $35.80 | Facility $21.82 |
| Salinas | Office $35.66 | Facility $21.73 |
| San Diego-Chula Vista-Carlsbad | Office $36.25 | Facility $21.87 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $40.56 | Facility $23.61 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $40.51 | Facility $23.55 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $41.44 | Facility $24.10 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $41.21 | Facility $23.87 |
| San Luis Obispo-Paso Robles | Office $35.12 | Facility $21.43 |
| Santa Cruz-Watsonville | Office $36.40 | Facility $21.79 |
| Santa Maria-Santa Barbara | Office $35.73 | Facility $21.71 |
| Santa Rosa-Petaluma | Office $36.75 | Facility $21.99 |
| Seattle (King Cnty) | Office $37.52 | Facility $22.77 |
| South Carolina | Office $31.93 | Facility $20.82 |
| South Dakota** | Office $32.29 | Facility $20.27 |
| Southern Maine | Office $32.64 | Facility $20.72 |
| Stockton | Office $34.43 | Facility $21.25 |
| Suburban Chicago | Office $35.23 | Facility $22.88 |
| Tennessee | Office $31.17 | Facility $20.24 |
| Utah | Office $32.27 | Facility $20.97 |
| Vallejo | Office $38.58 | Facility $22.74 |
| Vermont | Office $32.42 | Facility $20.51 |
| Virgin Islands | Office $33.55 | Facility $21.40 |
| Virginia | Office $32.64 | Facility $20.82 |
| Visalia | Office $34.43 | Facility $21.25 |
| West Virginia | Office $32.02 | Facility $21.57 |
| Wisconsin | Office $31.57 | Facility $20.05 |
| Wyoming** | Office $32.97 | Facility $20.94 |
| Yuba City | Office $34.43 | Facility $21.25 |
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62367 billing questions
Can 62367 be reported when the clinician changes a pump setting?
No. When the analysis includes reprogramming, 62368 is the related code to consider.
Does 62367 include a medication refill?
No. It covers electronic analysis without reprogramming or refill. Reprogramming-and-refill services are represented by 62369 or 62370, as applicable.
Which pumps are covered by this code?
It applies to programmable implanted pumps delivering medication intrathecally or epidurally, not external infusion pumps.
What should the note document?
Document the implanted pump, the electronic analysis performed, and the findings reviewed. The record should support that the service did not include reprogramming or refill.
Can 62367 be used for pump implantation?
No. It reports analysis of an implanted pump. Pump insertion is a separate service, such as 62361 or 62362, depending on the device and procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
