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CMS RVU26D · Effective 2026-10-01

62368 in Salinas

Office / nonfacility

$49.57

Base rate per service

Facility setting

$29.83

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.

Implanted pump services

About 62368: Implanted infusion pump analysis with reprogramming

Reports electronic analysis and adjustment of a programmable implanted pump delivering intrathecal or epidural medication, without a refill service.

A clinician uses the pump’s programmer to interrogate an implanted device that delivers medication into the intrathecal or epidural space, review its status, and change programmed infusion settings. Pain medicine specialists may use this service when adjusting intrathecal analgesia for chronic pain; physiatrists or other treating clinicians may adjust intrathecal baclofen delivery for spasticity. It is commonly performed during an outpatient visit when symptoms, treatment response, or medication effects prompt a change to the pump program.

Report 62368 when electronic analysis results in an actual programming change and the service does not include pump refill and maintenance. Record the device and indication, findings from the interrogation, the prior and revised settings, and the clinical reason for the adjustment. If analysis is performed without a setting change, consider 62367. When refill and maintenance are part of the service, select from the 62369–62370 family rather than reporting this analysis service for the same work. The Medicare physician fee schedule assigns work and practice-expense values to 62368.

Where the value comes from

  • Work RVU0.65 · 47%
  • Practice expense (office) RVU0.67 · 48%
  • Malpractice RVU0.07 · 5%

26.4K

Medicare services in 2024 · #1028 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.

62368 compared with similar codes

Office rates for Salinas, from the same CMS release.

62367

Pump analysis

Without reprogramming

$35.66

Use 62367 when electronic analysis does not change the programmed settings; 62368 requires reprogramming.

62369

Pump management

Refill and reprogramming

$108.42

This code is for a refill-and-maintenance service with reprogramming, rather than analysis and reprogramming without refill.

62370

Pump refill

Professional reprogramming

$107.22

This code is also in the refill-and-maintenance family; use 62368 when the encounter involves reprogramming without refill and maintenance.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 62368 is $48.07—$1.50 lower than the $49.57 rate in Salinas. Both use the same code, release and participation basis.

62368 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $49.57

  2. Bakersfield

    $48.07

    $1.50 lower than Salinas

  3. Chico

    $47.86

    $1.71 lower than Salinas

  4. El Centro

    $47.87

    $1.70 lower than Salinas

  5. Fresno

    $47.86

    $1.71 lower than Salinas

  6. Hanford-Corcoran

    $47.86

    $1.71 lower than Salinas

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

    $50.63

    $1.06 higher than Salinas

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, 62368 ranges from $42.14 in Arkansas to $57.69 in Alaska*. 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 · 62368

    Office

    $47.86

    Facility

    $29.19

    $1.71 lower than Salinas for the office setting.

  • Merced

    California · 62368

    Office

    $47.86

    Facility

    $29.19

    $1.71 lower than Salinas for the office setting.

  • Modesto

    California · 62368

    Office

    $47.86

    Facility

    $29.19

    $1.71 lower than Salinas for the office setting.

  • Napa

    California · 62368

    Office

    $53.76

    Facility

    $31.31

    $4.19 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 62368

    Office

    $50.23

    Facility

    $30.09

    $0.66 higher than Salinas for the office setting.

  • Redding

    California · 62368

    Office

    $47.86

    Facility

    $29.19

    $1.71 lower than Salinas for the office setting.

  • Rest Of California

    California · 62368

    Office

    $47.86

    Facility

    $29.19

    $1.71 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 62368

    Office

    $48.62

    Facility

    $29.95

    $0.95 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 62368

    Office

    $49.77

    Facility

    $29.96

    $0.20 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 62368

    Office

    $50.39

    Facility

    $30.02

    $0.82 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 62368

    Office

    $56.40

    Facility

    $32.38

    $6.83 higher than Salinas for the office setting.

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

    California · 62368

    Office

    $56.32

    Facility

    $32.30

    $6.75 higher than Salinas for the office setting.

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

    California · 62368

    Office

    $57.62

    Facility

    $33.06

    $8.05 higher than Salinas for the office setting.

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

    California · 62368

    Office

    $57.30

    Facility

    $32.73

    $7.73 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 62368

    Office

    $48.82

    Facility

    $29.42

    $0.75 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 62368

    Office

    $50.61

    Facility

    $29.91

    $1.04 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 62368

    Office

    $49.67

    Facility

    $29.80

    $0.10 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 62368

    Office

    $51.10

    Facility

    $30.18

    $1.53 higher than Salinas for the office setting.

  • Stockton

    California · 62368

    Office

    $47.86

    Facility

    $29.19

    $1.71 lower than Salinas for the office setting.

  • Vallejo

    California · 62368

    Office

    $53.65

    Facility

    $31.20

    $4.08 higher than Salinas for the office setting.

  • Visalia

    California · 62368

    Office

    $47.86

    Facility

    $29.19

    $1.71 lower than Salinas for the office setting.

  • Yuba City

    California · 62368

    Office

    $47.86

    Facility

    $29.19

    $1.71 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 62368

    Office

    $51.85

    Facility

    $31.78

    $2.28 higher than Salinas for the office setting.

  • Miami

    Florida · 62368

    Office

    $50.92

    Facility

    $33.19

    $1.35 higher than Salinas for the office setting.

  • Chicago

    Illinois · 62368

    Office

    $49.72

    Facility

    $32.60

    $0.15 higher than Salinas for the office setting.

  • Manhattan

    New York · 62368

    Office

    $52.81

    Facility

    $33.02

    $3.24 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 62368

    Office

    $57.69

    Facility

    $39.55

    $8.12 higher than Salinas for the office setting.

  • Alabama

    Alabama · 62368

    Office

    $42.62

    Facility

    $27.71

    $6.95 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 62368

    Office

    $42.14

    Facility

    $27.51

    $7.43 lower than Salinas for the office setting.

  • Arizona

    Arizona · 62368

    Office

    $45.40

    Facility

    $28.89

    $4.17 lower than Salinas for the office setting.

  • Colorado

    Colorado · 62368

    Office

    $47.61

    Facility

    $29.48

    $1.96 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 62368

    Office

    $49.08

    Facility

    $30.73

    $0.49 lower than Salinas for the office setting.

  • Delaware

    Delaware · 62368

    Office

    $46.03

    Facility

    $29.20

    $3.54 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 62368

    Office

    $48.61

    Facility

    $31.35

    $0.96 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 62368

    Office

    $46.62

    Facility

    $30.33

    $2.95 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 62368

    Office

    $47.32

    Facility

    $30.01

    $2.25 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 62368

    Office

    $44.46

    Facility

    $29.26

    $5.11 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 62368

    Office

    $48.51

    Facility

    $29.14

    $1.06 lower than Salinas for the office setting.

  • Iowa

    Iowa · 62368

    Office

    $43.12

    Facility

    $27.53

    $6.45 lower than Salinas for the office setting.

  • Idaho

    Idaho · 62368

    Office

    $43.40

    Facility

    $27.73

    $6.17 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 62368

    Office

    $47.01

    Facility

    $31.34

    $2.56 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 62368

    Office

    $45.80

    Facility

    $30.24

    $3.77 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 62368

    Office

    $48.99

    Facility

    $31.49

    $0.58 lower than Salinas for the office setting.

  • Indiana

    Indiana · 62368

    Office

    $43.59

    Facility

    $27.80

    $5.98 lower than Salinas for the office setting.

  • Kansas

    Kansas · 62368

    Office

    $43.12

    Facility

    $27.72

    $6.45 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 62368

    Office

    $43.74

    Facility

    $28.60

    $5.83 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 62368

    Office

    $45.42

    Facility

    $29.40

    $4.15 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 62368

    Office

    $43.76

    Facility

    $28.68

    $5.81 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 62368

    Office

    $51.40

    Facility

    $31.06

    $1.83 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 62368

    Office

    $47.49

    Facility

    $29.55

    $2.08 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 62368

    Office

    $48.96

    Facility

    $30.68

    $0.61 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 62368

    Office

    $46.72

    Facility

    $29.48

    $2.85 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 62368

    Office

    $43.75

    Facility

    $28.08

    $5.82 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 62368

    Office

    $45.36

    Facility

    $28.48

    $4.21 lower than Salinas for the office setting.

  • Detroit

    Michigan · 62368

    Office

    $47.25

    Facility

    $30.81

    $2.32 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 62368

    Office

    $44.78

    Facility

    $29.23

    $4.79 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 62368

    Office

    $45.43

    Facility

    $27.90

    $4.14 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 62368

    Office

    $45.01

    Facility

    $29.01

    $4.56 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 62368

    Office

    $45.36

    Facility

    $29.14

    $4.21 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 62368

    Office

    $43.28

    Facility

    $28.59

    $6.29 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 62368

    Office

    $42.71

    Facility

    $28.04

    $6.86 lower than Salinas for the office setting.

  • Montana**

    Montana · 62368

    Office

    $46.42

    Facility

    $29.39

    $3.15 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 62368

    Office

    $44.08

    Facility

    $28.19

    $5.49 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 62368

    Office

    $45.04

    Facility

    $28.00

    $4.53 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 62368

    Office

    $43.25

    Facility

    $27.53

    $6.32 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 62368

    Office

    $47.05

    Facility

    $29.32

    $2.52 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 62368

    Office

    $51.53

    Facility

    $31.77

    $1.96 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 62368

    Office

    $49.58

    Facility

    $30.98

    $0.01 higher than Salinas for the office setting.

  • New Mexico

    New Mexico · 62368

    Office

    $45.04

    Facility

    $29.42

    $4.53 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 62368

    Office

    $46.06

    Facility

    $29.01

    $3.51 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 62368

    Office

    $54.05

    Facility

    $33.80

    $4.48 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 62368

    Office

    $50.02

    Facility

    $31.37

    $0.45 higher than Salinas for the office setting.

  • Queens

    New York · 62368

    Office

    $52.92

    Facility

    $32.79

    $3.35 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 62368

    Office

    $44.61

    Facility

    $28.43

    $4.96 lower than Salinas for the office setting.

  • Ohio

    Ohio · 62368

    Office

    $44.50

    Facility

    $28.95

    $5.07 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 62368

    Office

    $43.51

    Facility

    $28.30

    $6.06 lower than Salinas for the office setting.

  • Portland

    Oregon · 62368

    Office

    $48.66

    Facility

    $29.73

    $0.91 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 62368

    Office

    $45.64

    Facility

    $28.68

    $3.93 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 62368

    Office

    $48.19

    Facility

    $30.45

    $1.38 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 62368

    Office

    $44.46

    Facility

    $28.83

    $5.11 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 62368

    Office

    $46.64

    Facility

    $29.42

    $2.93 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 62368

    Office

    $47.33

    Facility

    $29.73

    $2.24 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 62368

    Office

    $44.38

    Facility

    $28.64

    $5.19 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 62368

    Office

    $44.87

    Facility

    $27.84

    $4.70 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 62368

    Office

    $43.31

    Facility

    $27.82

    $6.26 lower than Salinas for the office setting.

  • Austin

    Texas · 62368

    Office

    $47.50

    Facility

    $29.48

    $2.07 lower than Salinas for the office setting.

  • Beaumont

    Texas · 62368

    Office

    $44.25

    Facility

    $28.75

    $5.32 lower than Salinas for the office setting.

  • Brazoria

    Texas · 62368

    Office

    $45.89

    Facility

    $29.00

    $3.68 lower than Salinas for the office setting.

  • Dallas

    Texas · 62368

    Office

    $46.20

    Facility

    $29.23

    $3.37 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 62368

    Office

    $46.01

    Facility

    $29.21

    $3.56 lower than Salinas for the office setting.

  • Galveston

    Texas · 62368

    Office

    $46.04

    Facility

    $29.13

    $3.53 lower than Salinas for the office setting.

  • Houston

    Texas · 62368

    Office

    $47.32

    Facility

    $30.41

    $2.25 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 62368

    Office

    $45.06

    Facility

    $28.89

    $4.51 lower than Salinas for the office setting.

  • Utah

    Utah · 62368

    Office

    $44.85

    Facility

    $28.83

    $4.72 lower than Salinas for the office setting.

  • Virginia

    Virginia · 62368

    Office

    $45.36

    Facility

    $28.61

    $4.21 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 62368

    Office

    $46.64

    Facility

    $29.42

    $2.93 lower than Salinas for the office setting.

  • Vermont

    Vermont · 62368

    Office

    $45.05

    Facility

    $28.18

    $4.52 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 62368

    Office

    $47.34

    Facility

    $29.40

    $2.23 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 62368

    Office

    $52.16

    Facility

    $31.26

    $2.59 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 62368

    Office

    $43.87

    Facility

    $27.55

    $5.70 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 62368

    Office

    $44.50

    Facility

    $29.70

    $5.07 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 62368

    Office

    $45.82

    Facility

    $28.78

    $3.75 lower than Salinas for the office setting.

See how rates vary across the country

62368 · 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.

$42.14

$57.69

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$57.691
AL$42.621
AR$42.141
AZ$45.401
CA$47.86–$57.6229
CO$47.611
CT$49.081
DC$51.851
DE$46.031
FL$46.62–$50.923
GA$44.46–$47.322
GU$48.511
HI$48.511
IA$43.121
ID$43.401
IL$45.80–$49.724
IN$43.591
KS$43.121
KY$43.741
LA$43.76–$45.422
MA$47.49–$51.402
MD$46.72–$51.853
ME$43.75–$45.362
MI$44.78–$47.252
MN$45.431
MO$43.28–$45.363
MS$42.711
MT$46.421
NC$44.081
ND$45.041
NE$43.251
NH$47.051
NJ$49.58–$51.532
NM$45.041
NV$46.061
NY$44.61–$54.055
OH$44.501
OK$43.511
OR$45.64–$48.662
PA$44.46–$48.192
PR$46.641
RI$47.331
SC$44.381
SD$44.871
TN$43.311
TX$44.25–$47.508
UT$44.851
VA$45.36–$51.852
VI$46.641
VT$45.051
WA$47.34–$52.162
WI$43.871
WV$44.501
WY$45.821

Explore 62368 on the national rate map →

Where does this rate apply?

Salinas is a Medicare payment area. Our Census mapping connects it to 30 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 62368 in Salinas, the physician’s office rate is $49.57 and the facility-setting rate is $29.83: a difference of $19.74.

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 62368 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$54.53

$49.57 × 110% = $54.53

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 62368 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

6,984

Code
62368
Physician work
0.65
Practice expense
0.67
Malpractice
0.07

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 62368 in Salinas
ComponentRVULocality factorAdjusted
Physician work0.65× 1.0310.6702
Practice expense0.67× 1.1590.7765
Malpractice0.07× 0.5360.0375
Total RVUs1.4842
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$49.57

Open 62368 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.651.031
Practice expense0.671.159
Malpractice0.070.536

(0.65 × 1.031 + 0.67 × 1.159 + 0.07 × 0.536) × $33.4009 = $49.57

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.651.031
Practice expense0.161.159
Malpractice0.070.536

(0.65 × 1.031 + 0.16 × 1.159 + 0.07 × 0.536) × $33.4009 = $29.83

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

62368 · Office / nonfacility

$49.57

Effective 2026-10-01

The base rate is $3.26 higher than on 2025-10-01, moving from $46.31 to $49.57 (7.0%).

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

    $46.31changed to$49.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.67 changed to 0.65
    • Practice expense RVU 0.60 changed to 0.67
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $46.31

    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$49.57$29.83RVU26D
2026-07-01$49.57$29.83RVU26C
2026-04-01$49.57$29.83RVU26B
2026-01-01$49.57$29.83RVU26A
2025-10-01$46.31$34.25RVU25D
2025-07-01$46.31$34.25RVU25C
2025-04-01$46.31$34.25RVU25B
2025-01-01$46.31$34.25RVU25A

62368 billing questions

How does 62368 differ from 62367?

62368 includes an actual change to the pump’s programmed settings. Use 62367 when the pump is analyzed but no reprogramming is performed.

Does 62368 include a pump refill?

No. It covers analysis with reprogramming, not refill and maintenance. When the service includes refill and maintenance, use the applicable code from the 62369–62370 family.

What documentation supports 62368?

Document the implanted pump and treatment indication, interrogation findings, settings before and after the adjustment, and the clinical reason for changing the program.

Can 62368 be reported with 62369 or 62370 for the same pump service?

Do not report 62368 separately for programming work included in a refill-and-maintenance service. Choose the code that represents the service actually performed.

What clinical situations commonly lead to reprogramming?

Examples include adjusting intrathecal analgesia for chronic pain or baclofen delivery for spasticity in response to symptoms, treatment response, or medication effects.

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 62368PPRRVU2026_Oct_nonQPP.csv, line 6,984 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet