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CMS RVU26D · Effective 2026-10-01

62369 in Modesto

Office / nonfacility

$103.50

Base rate per service

Facility setting

$29.56

Base rate per service

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.

Pain management

About 62369: Implanted infusion pump refill and reprogramming

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

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.

Where the value comes from

  • Work RVU0.65 · 22%
  • Practice expense (office) RVU2.19 · 75%
  • Malpractice RVU0.07 · 2%

18.2K

Medicare services in 2024 · #1187 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.

62369 compared with similar codes

Office rates for Modesto, from the same CMS release.

62367

Pump analysis

Without reprogramming

$34.43

Choose 62367 when the pump is analyzed but neither reprogrammed nor refilled. It does not describe the combined refill-and-reprogramming service.

62368

Pump analysis

With reprogramming

$47.86

Choose 62368 when analysis and reprogramming occur without a reservoir refill. A refill during the service points to the refill-and-reprogramming code family.

62370

Pump refill

Professional reprogramming

$102.71

Both codes include pump analysis, reprogramming, and refill. Distinguish them by whether the service requires physician or other qualified health care professional skill and by who performed the work.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 62369 is $103.72—$0.22 higher than the $103.50 rate in Modesto. Both use the same code, release and participation basis.

62369 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $103.50

  2. Bakersfield

    $103.72

    $0.22 higher than Modesto

  3. Chico

    $103.50

    The same base rate than Modesto

  4. El Centro

    $103.51

    $0.01 higher than Modesto

  5. Fresno

    $103.50

    The same base rate than Modesto

  6. Hanford-Corcoran

    $103.50

    The same base rate than Modesto

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $110.69

    $7.19 higher than Modesto

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 62369 ranges from $85.75 in Arkansas to $130.83 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 62369

    Office

    $103.50

    Facility

    $29.56

    The same base rate than Modesto for the office setting.

  • Merced

    California · 62369

    Office

    $103.50

    Facility

    $29.56

    The same base rate than Modesto for the office setting.

  • Napa

    California · 62369

    Office

    $120.68

    Facility

    $31.75

    $17.18 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 62369

    Office

    $110.24

    Facility

    $30.49

    $6.74 higher than Modesto for the office setting.

  • Redding

    California · 62369

    Office

    $103.50

    Facility

    $29.56

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 62369

    Office

    $103.50

    Facility

    $29.56

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 62369

    Office

    $104.27

    Facility

    $30.32

    $0.77 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 62369

    Office

    $108.82

    Facility

    $30.35

    $5.32 higher than Modesto for the office setting.

  • Salinas

    California · 62369

    Office

    $108.42

    Facility

    $30.22

    $4.92 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 62369

    Office

    $111.11

    Facility

    $30.42

    $7.61 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 62369

    Office

    $127.98

    Facility

    $32.85

    $24.48 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 62369

    Office

    $127.91

    Facility

    $32.77

    $24.41 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 62369

    Office

    $130.83

    Facility

    $33.54

    $27.33 higher than Modesto for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 62369

    Office

    $130.51

    Facility

    $33.21

    $27.01 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 62369

    Office

    $106.65

    Facility

    $29.80

    $3.15 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 62369

    Office

    $112.29

    Facility

    $30.32

    $8.79 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 62369

    Office

    $108.86

    Facility

    $30.19

    $5.36 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 62369

    Office

    $113.44

    Facility

    $30.59

    $9.94 higher than Modesto for the office setting.

  • Stockton

    California · 62369

    Office

    $103.50

    Facility

    $29.56

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 62369

    Office

    $120.56

    Facility

    $31.64

    $17.06 higher than Modesto for the office setting.

  • Visalia

    California · 62369

    Office

    $103.50

    Facility

    $29.56

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 62369

    Office

    $103.50

    Facility

    $29.56

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 62369

    Office

    $111.65

    Facility

    $32.17

    $8.15 higher than Modesto for the office setting.

  • Miami

    Florida · 62369

    Office

    $103.77

    Facility

    $33.53

    $0.27 higher than Modesto for the office setting.

  • Chicago

    Illinois · 62369

    Office

    $100.74

    Facility

    $32.93

    $2.76 lower than Modesto for the office setting.

  • Manhattan

    New York · 62369

    Office

    $111.81

    Facility

    $33.41

    $8.31 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 62369

    Office

    $111.76

    Facility

    $39.90

    $8.26 higher than Modesto for the office setting.

  • Alabama

    Alabama · 62369

    Office

    $87.04

    Facility

    $28.00

    $16.46 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 62369

    Office

    $85.75

    Facility

    $27.79

    $17.75 lower than Modesto for the office setting.

  • Arizona

    Arizona · 62369

    Office

    $94.59

    Facility

    $29.21

    $8.91 lower than Modesto for the office setting.

  • Colorado

    Colorado · 62369

    Office

    $101.63

    Facility

    $29.84

    $1.87 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 62369

    Office

    $103.75

    Facility

    $31.09

    $0.25 higher than Modesto for the office setting.

  • Delaware

    Delaware · 62369

    Office

    $96.19

    Facility

    $29.53

    $7.31 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 62369

    Office

    $100.04

    Facility

    $31.69

    $3.46 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 62369

    Office

    $95.15

    Facility

    $30.65

    $8.35 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 62369

    Office

    $98.90

    Facility

    $30.35

    $4.60 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 62369

    Office

    $89.75

    Facility

    $29.56

    $13.75 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 62369

    Office

    $106.23

    Facility

    $29.52

    $2.73 higher than Modesto for the office setting.

  • Iowa

    Iowa · 62369

    Office

    $89.57

    Facility

    $27.83

    $13.93 lower than Modesto for the office setting.

  • Idaho

    Idaho · 62369

    Office

    $90.11

    Facility

    $28.04

    $13.39 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 62369

    Office

    $93.72

    Facility

    $31.64

    $9.78 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 62369

    Office

    $92.15

    Facility

    $30.55

    $11.35 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 62369

    Office

    $101.13

    Facility

    $31.84

    $2.37 lower than Modesto for the office setting.

  • Indiana

    Indiana · 62369

    Office

    $90.66

    Facility

    $28.11

    $12.84 lower than Modesto for the office setting.

  • Kansas

    Kansas · 62369

    Office

    $89.01

    Facility

    $28.02

    $14.49 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 62369

    Office

    $88.88

    Facility

    $28.90

    $14.62 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 62369

    Office

    $93.20

    Facility

    $29.71

    $10.30 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 62369

    Office

    $88.69

    Facility

    $28.98

    $14.81 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 62369

    Office

    $112.02

    Facility

    $31.46

    $8.52 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 62369

    Office

    $100.95

    Facility

    $29.90

    $2.55 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 62369

    Office

    $103.44

    Facility

    $31.04

    $0.06 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 62369

    Office

    $98.10

    Facility

    $29.82

    $5.40 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 62369

    Office

    $90.46

    Facility

    $28.39

    $13.04 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 62369

    Office

    $95.68

    Facility

    $28.81

    $7.82 lower than Modesto for the office setting.

  • Detroit

    Michigan · 62369

    Office

    $96.24

    Facility

    $31.13

    $7.26 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 62369

    Office

    $91.13

    Facility

    $29.53

    $12.37 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 62369

    Office

    $97.67

    Facility

    $28.25

    $5.83 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 62369

    Office

    $92.68

    Facility

    $29.33

    $10.82 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 62369

    Office

    $93.69

    Facility

    $29.46

    $9.81 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 62369

    Office

    $87.04

    Facility

    $28.88

    $16.46 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 62369

    Office

    $86.42

    Facility

    $28.33

    $17.08 lower than Modesto for the office setting.

  • Montana**

    Montana · 62369

    Office

    $97.19

    Facility

    $29.72

    $6.31 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 62369

    Office

    $91.45

    Facility

    $28.50

    $12.05 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 62369

    Office

    $95.81

    Facility

    $28.34

    $7.69 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 62369

    Office

    $90.11

    Facility

    $27.84

    $13.39 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 62369

    Office

    $99.90

    Facility

    $29.67

    $3.60 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 62369

    Office

    $110.43

    Facility

    $32.16

    $6.93 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 62369

    Office

    $105.02

    Facility

    $31.34

    $1.52 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 62369

    Office

    $91.60

    Facility

    $29.73

    $11.90 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 62369

    Office

    $96.88

    Facility

    $29.34

    $6.62 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 62369

    Office

    $114.41

    Facility

    $34.19

    $10.91 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 62369

    Office

    $105.61

    Facility

    $31.73

    $2.11 higher than Modesto for the office setting.

  • Queens

    New York · 62369

    Office

    $112.93

    Facility

    $33.18

    $9.43 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 62369

    Office

    $92.84

    Facility

    $28.75

    $10.66 lower than Modesto for the office setting.

  • Ohio

    Ohio · 62369

    Office

    $90.85

    Facility

    $29.25

    $12.65 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 62369

    Office

    $88.85

    Facility

    $28.60

    $14.65 lower than Modesto for the office setting.

  • Portland

    Oregon · 62369

    Office

    $105.06

    Facility

    $30.11

    $1.56 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 62369

    Office

    $96.21

    Facility

    $29.01

    $7.29 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 62369

    Office

    $101.04

    Facility

    $30.80

    $2.46 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 62369

    Office

    $91.07

    Facility

    $29.13

    $12.43 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 62369

    Office

    $97.97

    Facility

    $29.75

    $5.53 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 62369

    Office

    $99.77

    Facility

    $30.07

    $3.73 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 62369

    Office

    $91.29

    Facility

    $28.94

    $12.21 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 62369

    Office

    $95.64

    Facility

    $28.17

    $7.86 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 62369

    Office

    $89.46

    Facility

    $28.13

    $14.04 lower than Modesto for the office setting.

  • Austin

    Texas · 62369

    Office

    $101.22

    Facility

    $29.83

    $2.28 lower than Modesto for the office setting.

  • Beaumont

    Texas · 62369

    Office

    $90.45

    Facility

    $29.05

    $13.05 lower than Modesto for the office setting.

  • Brazoria

    Texas · 62369

    Office

    $96.20

    Facility

    $29.34

    $7.30 lower than Modesto for the office setting.

  • Dallas

    Texas · 62369

    Office

    $96.77

    Facility

    $29.57

    $6.73 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 62369

    Office

    $96.07

    Facility

    $29.54

    $7.43 lower than Modesto for the office setting.

  • Galveston

    Texas · 62369

    Office

    $96.46

    Facility

    $29.46

    $7.04 lower than Modesto for the office setting.

  • Houston

    Texas · 62369

    Office

    $97.74

    Facility

    $30.74

    $5.76 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 62369

    Office

    $93.24

    Facility

    $29.21

    $10.26 lower than Modesto for the office setting.

  • Utah

    Utah · 62369

    Office

    $92.57

    Facility

    $29.15

    $10.93 lower than Modesto for the office setting.

  • Virginia

    Virginia · 62369

    Office

    $95.27

    Facility

    $28.94

    $8.23 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 62369

    Office

    $97.97

    Facility

    $29.75

    $5.53 lower than Modesto for the office setting.

  • Vermont

    Vermont · 62369

    Office

    $95.31

    Facility

    $28.52

    $8.19 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 62369

    Office

    $100.80

    Facility

    $29.75

    $2.70 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 62369

    Office

    $114.46

    Facility

    $31.67

    $10.96 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 62369

    Office

    $92.51

    Facility

    $27.87

    $10.99 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 62369

    Office

    $88.62

    Facility

    $29.99

    $14.88 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 62369

    Office

    $96.59

    Facility

    $29.12

    $6.91 lower than Modesto for the office setting.

See how rates vary across the country

62369 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate 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

Explore 62369 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 62369 in Modesto, the physician’s office rate is $103.50 and the facility-setting rate is $29.56: a difference of $73.94.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 62369 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$113.85

$103.50 × 110% = $113.85

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 62369 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

6,985

Code
62369
Physician work
0.65
Practice expense
2.19
Malpractice
0.07

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 62369 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.65× 1.0170.6610
Practice expense2.19× 1.0962.4002
Malpractice0.07× 0.5360.0375
Total RVUs3.0988
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$103.50

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 62369 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.651.017
Practice expense2.191.096
Malpractice0.070.536

(0.65 × 1.017 + 2.19 × 1.096 + 0.07 × 0.536) × $33.4009 = $103.50

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.651.017
Practice expense0.171.096
Malpractice0.070.536

(0.65 × 1.017 + 0.17 × 1.096 + 0.07 × 0.536) × $33.4009 = $29.56

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

62369 · Office / nonfacility

$103.50

Effective 2026-10-01

The base rate is $9.55 higher than on 2025-10-01, moving from $93.95 to $103.50 (10.2%).

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

    $93.95changed to$103.50

    • 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 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $93.95

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$103.50$29.56RVU26D
2026-07-01$103.50$29.56RVU26C
2026-04-01$103.50$29.56RVU26B
2026-01-01$103.50$29.56RVU26A
2025-10-01$93.95$33.50RVU25D
2025-07-01$93.95$33.50RVU25C
2025-04-01$93.95$33.50RVU25B
2025-01-01$93.95$33.50RVU25A

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 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.

RVUs for 62369PPRRVU2026_Oct_nonQPP.csv, line 6,985 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet