No office rate
Both cover spinal canal catheter work for long-term medication delivery. The distinguishing factor is access: 62351 involves laminectomy; 62350 does not.
On this page
CMS RVU26D · Effective 2026-10-01
62351 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$878.14
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 surgery
About 62351: Spinal canal catheter implantation with laminectomy
Reports surgical placement, revision, or replacement of a long-term spinal canal medication catheter when laminectomy is used to reach the canal.
This service covers placing, revising, or replacing a catheter in the spinal canal for long-term medication delivery when the surgeon uses a laminectomy for access. Neurosurgeons and pain-management surgeons typically perform it in an operating room. Common clinical settings include intrathecal drug delivery for persistent pain or severe spasticity, including therapy that may use an implanted infusion pump.
Choose this code when the documented catheter procedure uses a laminectomy; the related catheter code without laminectomy is 62350. The operative report should support the access approach and describe whether the catheter was implanted, revised, or replaced. A separately implanted pump has its own code when that service is also performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made, co-surgeons are permitted, and team surgery is not permitted.
CMS billing rules for 62351
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.37 · 42%
- Practice expense (office) RVU11.85 · 43%
- Malpractice RVU4.15 · 15%
145
Medicare services in 2024 · #4589 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.
62351 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
62355 describes removal of an implanted spinal canal catheter. Choose 62351 for placement, revision, or replacement involving laminectomy, not removal alone.
No office rate
62361 covers implantation of a nonprogrammable infusion pump, rather than the spinal canal catheter. It may be reported with catheter work when both services are performed.
No office rate
62362 covers implantation of a programmable infusion pump, rather than the spinal canal catheter. It may be reported with catheter work when both services are performed.
The same code, a different location
How does Wyoming** compare?
62351 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Alabama
Alabama · 62351
Office
Unavailable
Facility
$804.55
No comparable office rate is available.
Arkansas
Arkansas · 62351
Office
Unavailable
Facility
$791.15
No comparable office rate is available.
Arizona
Arizona · 62351
Office
Unavailable
Facility
$881.95
No comparable office rate is available.
Bakersfield
California · 62351
Office
Unavailable
Facility
$905.20
No comparable office rate is available.
Chico
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
El Centro
California · 62351
Office
Unavailable
Facility
$895.01
No comparable office rate is available.
Fresno
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Hanford-Corcoran
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Madera
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Merced
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Modesto
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Napa
California · 62351
Office
Unavailable
Facility
$995.77
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 62351
Office
Unavailable
Facility
$944.59
No comparable office rate is available.
Redding
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Rest Of California
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 62351
Office
Unavailable
Facility
$938.64
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 62351
Office
Unavailable
Facility
$928.05
No comparable office rate is available.
Salinas
California · 62351
Office
Unavailable
Facility
$924.57
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 62351
Office
Unavailable
Facility
$939.67
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 62351
Office
Unavailable
Facility
$1037.55
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 62351
Office
Unavailable
Facility
$1032.84
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 62351
Office
Unavailable
Facility
$1066.58
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 62351
Office
Unavailable
Facility
$1047.32
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 62351
Office
Unavailable
Facility
$911.34
No comparable office rate is available.
Santa Cruz-Watsonville
California · 62351
Office
Unavailable
Facility
$942.94
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 62351
Office
Unavailable
Facility
$926.20
No comparable office rate is available.
Santa Rosa-Petaluma
California · 62351
Office
Unavailable
Facility
$951.50
No comparable office rate is available.
Stockton
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Vallejo
California · 62351
Office
Unavailable
Facility
$988.98
No comparable office rate is available.
Visalia
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Yuba City
California · 62351
Office
Unavailable
Facility
$894.32
No comparable office rate is available.
Colorado
Colorado · 62351
Office
Unavailable
Facility
$913.71
No comparable office rate is available.
Connecticut
Connecticut · 62351
Office
Unavailable
Facility
$981.36
No comparable office rate is available.
Delaware
Delaware · 62351
Office
Unavailable
Facility
$897.33
No comparable office rate is available.
Fort Lauderdale
Florida · 62351
Office
Unavailable
Facility
$1031.33
No comparable office rate is available.
Rest Of Florida
Florida · 62351
Office
Unavailable
Facility
$966.49
No comparable office rate is available.
Atlanta
Georgia · 62351
Office
Unavailable
Facility
$949.52
No comparable office rate is available.
Rest Of Georgia
Georgia · 62351
Office
Unavailable
Facility
$898.05
No comparable office rate is available.
Hawaii, Guam
Hawaii · 62351
Office
Unavailable
Facility
$910.05
No comparable office rate is available.
Iowa
Iowa · 62351
Office
Unavailable
Facility
$796.96
No comparable office rate is available.
Idaho
Idaho · 62351
Office
Unavailable
Facility
$809.47
No comparable office rate is available.
East St. Louis
Illinois · 62351
Office
Unavailable
Facility
$1023.07
No comparable office rate is available.
Rest Of Illinois
Illinois · 62351
Office
Unavailable
Facility
$957.79
No comparable office rate is available.
Suburban Chicago
Illinois · 62351
Office
Unavailable
Facility
$1034.54
No comparable office rate is available.
Indiana
Indiana · 62351
Office
Unavailable
Facility
$814.04
No comparable office rate is available.
Kansas
Kansas · 62351
Office
Unavailable
Facility
$807.43
No comparable office rate is available.
Kentucky
Kentucky · 62351
Office
Unavailable
Facility
$858.47
No comparable office rate is available.
New Orleans
Louisiana · 62351
Office
Unavailable
Facility
$909.68
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 62351
Office
Unavailable
Facility
$862.84
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 62351
Office
Unavailable
Facility
$991.29
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 62351
Office
Unavailable
Facility
$913.10
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 62351
Office
Unavailable
Facility
$982.00
No comparable office rate is available.
Rest Of Maryland
Maryland · 62351
Office
Unavailable
Facility
$911.36
No comparable office rate is available.
Rest Of Maine
Maine · 62351
Office
Unavailable
Facility
$830.12
No comparable office rate is available.
Southern Maine
Maine · 62351
Office
Unavailable
Facility
$859.47
No comparable office rate is available.
Detroit
Michigan · 62351
Office
Unavailable
Facility
$995.42
No comparable office rate is available.
Rest Of Michigan
Michigan · 62351
Office
Unavailable
Facility
$897.63
No comparable office rate is available.
Minnesota
Minnesota · 62351
Office
Unavailable
Facility
$828.08
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 62351
Office
Unavailable
Facility
$886.85
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 62351
Office
Unavailable
Facility
$895.46
No comparable office rate is available.
Rest Of Missouri
Missouri · 62351
Office
Unavailable
Facility
$855.96
No comparable office rate is available.
Mississippi
Mississippi · 62351
Office
Unavailable
Facility
$822.99
No comparable office rate is available.
Montana**
Montana · 62351
Office
Unavailable
Facility
$913.91
No comparable office rate is available.
North Carolina
North Carolina · 62351
Office
Unavailable
Facility
$837.62
No comparable office rate is available.
North Dakota**
North Dakota · 62351
Office
Unavailable
Facility
$831.85
No comparable office rate is available.
Nebraska
Nebraska · 62351
Office
Unavailable
Facility
$797.49
No comparable office rate is available.
New Hampshire
New Hampshire · 62351
Office
Unavailable
Facility
$913.08
No comparable office rate is available.
Northern Nj
New Jersey · 62351
Office
Unavailable
Facility
$1010.86
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 62351
Office
Unavailable
Facility
$979.23
No comparable office rate is available.
New Mexico
New Mexico · 62351
Office
Unavailable
Facility
$909.19
No comparable office rate is available.
Nevada**
Nevada · 62351
Office
Unavailable
Facility
$891.43
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 62351
Office
Unavailable
Facility
$1132.09
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 62351
Office
Unavailable
Facility
$997.98
No comparable office rate is available.
Queens
New York · 62351
Office
Unavailable
Facility
$1071.79
No comparable office rate is available.
Rest Of New York
New York · 62351
Office
Unavailable
Facility
$853.22
No comparable office rate is available.
Ohio
Ohio · 62351
Office
Unavailable
Facility
$880.86
No comparable office rate is available.
Oklahoma
Oklahoma · 62351
Office
Unavailable
Facility
$840.92
No comparable office rate is available.
Portland
Oregon · 62351
Office
Unavailable
Facility
$928.71
No comparable office rate is available.
Rest Of Oregon
Oregon · 62351
Office
Unavailable
Facility
$871.43
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 62351
Office
Unavailable
Facility
$964.00
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 62351
Office
Unavailable
Facility
$874.10
No comparable office rate is available.
Puerto Rico
Puerto Rico · 62351
Office
Unavailable
Facility
$916.46
No comparable office rate is available.
Rhode Island
Rhode Island · 62351
Office
Unavailable
Facility
$919.49
No comparable office rate is available.
South Carolina
South Carolina · 62351
Office
Unavailable
Facility
$863.31
No comparable office rate is available.
South Dakota**
South Dakota · 62351
Office
Unavailable
Facility
$822.14
No comparable office rate is available.
Tennessee
Tennessee · 62351
Office
Unavailable
Facility
$813.99
No comparable office rate is available.
Austin
Texas · 62351
Office
Unavailable
Facility
$922.10
No comparable office rate is available.
Beaumont
Texas · 62351
Office
Unavailable
Facility
$868.72
No comparable office rate is available.
Brazoria
Texas · 62351
Office
Unavailable
Facility
$883.16
No comparable office rate is available.
Dallas
Texas · 62351
Office
Unavailable
Facility
$896.33
No comparable office rate is available.
Fort Worth
Texas · 62351
Office
Unavailable
Facility
$894.18
No comparable office rate is available.
Galveston
Texas · 62351
Office
Unavailable
Facility
$890.61
No comparable office rate is available.
Houston
Texas · 62351
Office
Unavailable
Facility
$966.57
No comparable office rate is available.
Rest Of Texas
Texas · 62351
Office
Unavailable
Facility
$880.55
No comparable office rate is available.
Utah
Utah · 62351
Office
Unavailable
Facility
$876.30
No comparable office rate is available.
Virginia
Virginia · 62351
Office
Unavailable
Facility
$866.70
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 62351
Office
Unavailable
Facility
$916.46
No comparable office rate is available.
Vermont
Vermont · 62351
Office
Unavailable
Facility
$841.75
No comparable office rate is available.
Rest Of Washington
Washington · 62351
Office
Unavailable
Facility
$906.97
No comparable office rate is available.
Seattle (King Cnty)
Washington · 62351
Office
Unavailable
Facility
$997.65
No comparable office rate is available.
Wisconsin
Wisconsin · 62351
Office
Unavailable
Facility
$801.64
No comparable office rate is available.
West Virginia
West Virginia · 62351
Office
Unavailable
Facility
$922.08
No comparable office rate is available.
See how rates vary across the country
62351 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 62351 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$965.95
$878.14 × 110% = $965.95
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.
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 62351 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,977
- Code
- 62351
- Physician work
- 11.37
- Practice expense
- 11.85
- Malpractice
- 4.15
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.37 | × 1.000 | 11.3700 |
| Practice expense | 11.85 | × 1.000 | 11.8500 |
| Malpractice | 4.15 | × 0.740 | 3.0710 |
| Total RVUs | 26.2910 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$878.14
Open 62351 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.37 | 1 |
| Practice expense | 11.85 | 1 |
| Malpractice | 4.15 | 0.74 |
(11.37 × 1 + 11.85 × 1 + 4.15 × 0.74) × $33.4009 = $878.14
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
62351 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $878.14 | RVU26D |
| 2026-07-01 | Not available in this setting | $878.14 | RVU26C |
| 2026-04-01 | Not available in this setting | $878.14 | RVU26B |
| 2026-01-01 | Not available in this setting | $878.14 | RVU26A |
| 2025-10-01 | Not available in this setting | $871.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $871.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $871.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $871.03 | RVU25A |
62351 billing questions
When should I choose 62351 instead of 62350?
Use 62351 when the catheter placement, revision, or replacement uses a laminectomy for access. Use 62350 for the corresponding catheter service without laminectomy.
Can the catheter and an infusion pump be reported for the same operation?
Yes, when both catheter work and pump implantation are performed and documented, consider the applicable pump code as well. The catheter code describes the catheter service, not the pump itself.
Should modifier 50 be appended?
No. CMS identifies modifier 50 as inappropriate for this service.
What documentation supports this code?
The operative report should identify the catheter work and establish that a laminectomy was used for access. It should also distinguish catheter placement, revision, or replacement from any separately performed pump implantation.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS treats this as major surgery.
How are multiple procedures in the same session paid?
CMS pays the highest-valued procedure in full and the other procedures at 50%. Assistant-at-surgery payment may be made, co-surgeons are permitted, and team surgery is not permitted.
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.
6,97462330,,Dcmprn prq rmv lig flv 1lmbr,A,,8.00,5.64,NA,5.64,,0.71,14.35,14.35,0,090,0.11,0.76,0.13,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97562331,,Dcmprn prq rmv lig flv addl,A,,4.25,1.03,NA,1.03,,0.38,5.66,5.66,0,ZZZ,0.00,0.00,0.00,0,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97662350,,Implant spinal canal cath,A,,5.90,4.24,NA,4.24,,1.17,11.31,11.31,0,010,0.10,0.80,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97762351,,Implant spinal canal cath,A,,11.37,11.85,NA,11.85,,4.15,27.37,27.37,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97862355,,Remove spinal canal catheter,A,,3.46,4.09,NA,4.09,,0.86,8.41,8.41,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97962360,,Insert spine infusion device,A,,4.22,4.09,NA,4.09,,0.99,9.30,9.30,0,010,0.10,0.80,0.10,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98062361,,Implant spine infusion pump,A,,4.88,6.99,NA,6.99,,2.05,13.92,13.92,0,010,0.10,0.80,0.10,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,