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.
On this page
CMS RVU26D · Effective 2026-10-01
62370 Pump refill Medicare reimbursement rates in Florida
Reports physician- or qualified professional-performed analysis, reprogramming, and refill of a programmable implanted pump delivering intrathecal or epidural medication. Compare 62370 office and facility rates across CMS payment localities in Florida.
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 62370 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$95.67–$103.95
3 of 3 localities have a supported rate.
Facility setting
$40.43–$43.80
3 of 3 localities have a supported rate.
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 62370 pays more and less in Florida
3 payment localities
$95.67 to $103.95
Pain management
About 62370: Implanted infusion pump refill and reprogramming
Reports physician- or qualified professional-performed analysis, reprogramming, and refill of a programmable implanted pump delivering intrathecal or epidural medication.
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.
Where the value comes from
- Work RVU0.88 · 30%
- Practice expense (office) RVU1.95 · 67%
- Malpractice RVU0.08 · 3%
76.6K
Medicare services in 2024 · #645 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.
62370 compared with similar codes
Office rates for Florida, from the same CMS release.
Use 62368 for analysis and reprogramming without a reservoir refill. Use 62370 when the service also includes a refill.
62367 describes analysis without reprogramming. 62370 includes reprogramming and a refill performed by a physician or qualified professional.
Compare 62370 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$100.20
Facility
$41.67
Miami →
Office / nonfacility
$103.95
Facility
$43.80
Rest Of Florida →
Office / nonfacility
$95.67
Facility
$40.43
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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 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.
