No office rate
36260 describes insertion of an infusion pump. Use 36262 when the implanted arterial pump is being removed.
On this page
CMS RVU26D · Effective 2026-10-01
36262 Infusion pump removal Medicare reimbursement rates in California
Removal of an implanted arterial infusion pump, such as a hepatic artery chemotherapy pump, when the pump is surgically explanted. Compare 36262 office and facility rates across CMS payment localities in California.
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 36262 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$315.89–$378.96
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $63.07 per service.
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 36262 pays more and less in California
Vascular surgery
About 36262: Implantable arterial infusion pump removal
Removal of an implanted arterial infusion pump, such as a hepatic artery chemotherapy pump, when the pump is surgically explanted.
This service covers surgical removal of an implanted pump used to deliver medication through an arterial catheter. A common setting is removal of a hepatic artery infusion pump used for regional chemotherapy. A vascular surgeon or another physician with the appropriate surgical role typically performs the procedure in a hospital or other surgical facility. This code is for an arterial infusion pump, not a pump implanted for intrathecal or epidural drug delivery.
Report the code when the operative record supports removal of the implanted arterial pump; document the indication and the work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 36262
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.01 · 42%
- Practice expense (office) RVU4.38 · 46%
- Malpractice RVU1.08 · 11%
42
Medicare services in 2024 · #5467 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.
36262 compared with similar codes
Office rates for California, from the same CMS release.
No office rate
36261 describes revision of an implanted infusion pump; 36262 describes removal of the pump.
No office rate
62365 is for removing a pump implanted for intrathecal or epidural drug delivery. Code 36262 is for an arterial infusion pump.
Compare 36262 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.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office Unavailable | Facility $318.79 |
| Chico | Office Unavailable | Facility $315.89 |
| El Centro | Office Unavailable | Facility $316.07 |
| Fresno | Office Unavailable | Facility $315.89 |
| Hanford-Corcoran | Office Unavailable | Facility $315.89 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $336.45 |
| Madera | Office Unavailable | Facility $315.89 |
| Merced | Office Unavailable | Facility $315.89 |
| Modesto | Office Unavailable | Facility $315.89 |
| Napa | Office Unavailable | Facility $353.52 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $333.08 |
| Redding | Office Unavailable | Facility $315.89 |
| Rest Of California | Office Unavailable | Facility $315.89 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $327.46 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $328.24 |
| Salinas | Office Unavailable | Facility $326.98 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $332.48 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $369.50 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $368.27 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $378.96 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $373.95 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $322.18 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $333.83 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $327.60 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $336.94 |
| Stockton | Office Unavailable | Facility $315.89 |
| Vallejo | Office Unavailable | Facility $351.75 |
| Visalia | Office Unavailable | Facility $315.89 |
| Yuba City | Office Unavailable | Facility $315.89 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
36262 billing questions
How is pump removal distinguished from revision?
Use 36262 when the implanted arterial infusion pump is removed. Use 36261 when the pump is revised rather than removed.
Does this code describe removal of an intrathecal pump?
No. This code is for an implanted arterial infusion pump, such as a hepatic artery pump. Removal of a pump implanted for intrathecal or epidural drug delivery is represented by 62365.
What documentation supports reporting 36262?
The operative report should identify the implanted arterial infusion pump, state why it was removed, and describe the removal performed.
How does Medicare treat other procedures performed during the same session?
The highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 90-day global period for related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service.
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.
4,46236254,,Ins cath ren art 2nd+ bilat,A,,7.70,47.75,,1.42,,1.73,57.18,10.85,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46336260,,Insertion of infusion pump,A,,9.66,6.72,NA,6.72,,2.58,18.96,18.96,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46436261,,Revision of infusion pump,A,,5.49,5.25,NA,5.25,,1.46,12.20,12.20,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46536262,,Removal of infusion pump,A,,4.01,4.38,NA,4.38,,1.08,9.47,9.47,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46636299,,Unlisted px vascular njx,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46736400,,Vnpnxr<3yrs phy/qhp fem/jug,A,,0.37,0.43,,0.08,,0.02,0.82,0.47,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,46836405,,Vnpnxr<3yrs phy/qhp scalp vn,A,,0.30,0.40,,0.06,,0.02,0.72,0.38,0,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00