Billing code 62370: Pump refillMedicare rate & RVUs in Alabama
Reports physician- or qualified professional-performed analysis, reprogramming, and refill of a programmable implanted pump delivering intrathecal or epidural medication.
Medicare pays $87.90 for 62370 in the office in Alabama (Alabama). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 62370 covers
A physician or other qualified health care professional analyzes a programmable implanted pump that delivers medication into the intrathecal or epidural space, changes its programmed settings, and refills its reservoir. Typical examples include pumps delivering intrathecal baclofen for severe spasticity or medication for chronic pain. The work includes checking pump status and settings, performing the refill, and programming the prescribed infusion plan. These services are commonly provided in an office or hospital outpatient setting by clinicians managing implanted drug-delivery systems.
Report 62370 when the physician or qualified professional performs the analysis, reprogramming, and refill. The record should support the implanted pump and its medication, the device assessment and settings, the refill performed, and the programming changes made. Distinguish this service from pump analysis with reprogramming but no refill, and from the corresponding refill service performed by clinical staff. The CMS facts supplied list no payment rules for this code.
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.
62370 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $87.90 | $37.33 |
How the 62370 rate is calculated
Each of 62370’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.
How the rate is built · 62370
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.88Practice expense 1.95Malpractice 0.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62370
62370 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 62370
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$97.20
The facility rate would be $39.41 (+$57.79). In a facility, the facility bills its own costs separately.
62370 compared with similar codes
Compare codes
62370 vs 62369 vs 62368 vs 62367: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62369Pump management
- Both include pump analysis, reprogramming, and refill. The distinction is who performs the service: 62370 is for a physician or qualified professional, while 62369 is for clinical staff.
- 62368Pump analysis
- Use 62368 for analysis and reprogramming without a reservoir refill. Use 62370 when the service also includes a refill.
- 62367Pump analysis
- 62367 describes analysis without reprogramming. 62370 includes reprogramming and a refill performed by a physician or qualified professional.
62370 billing questions
How does 62370 differ from 62369?
Both describe pump analysis with reprogramming and refill. Use 62370 when a physician or other qualified health care professional performs the service; 62369 is the clinical-staff service.
Can 62370 be used when the pump is reprogrammed but not refilled?
No. This code includes a refill. For analysis with reprogramming but no refill, consider 62368.
Which code describes pump analysis without a programming change?
62367 describes electronic analysis without reprogramming. It does not represent the refill-and-reprogramming service reported with 62370.
What documentation supports 62370?
Document the pump and medication, the analysis findings, reservoir refill, and the programming changes made by the physician or qualified professional.
Does this code cover pumps delivering medication into the epidural space?
Yes. The code covers programmable implanted pumps used for intrathecal or epidural drug infusion.
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
Show the CMS file lines behind this rate
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