Billing code 62365: Pump removalMedicare rate & RVUs in Georgia
Report this service for operative removal of an implanted spinal infusion pump, such as for infection, malfunction, or discontinuation of intrathecal therapy.
CMS doesn’t publish an office rate for 62365 in Georgia.
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 62365 covers
This service covers surgically taking out an implanted pump that delivers medication into the spinal canal, commonly as part of an intrathecal drug-delivery system. A neurosurgeon or pain specialist may remove the pump for infection, erosion, malfunction, or when therapy is no longer needed. Pump replacement may occur during the same operation. The service is commonly performed in a facility setting; it is distinct from removing only the spinal canal catheter.
Select the code when the implanted pump itself is removed. The operative report should identify the pump, the reason for removal, and whether the catheter was also removed or a replacement pump was implanted. Related postoperative visits are included for 10 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
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.
Where 62365 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $305.06 |
| Rest Of Georgia | Unavailable | $287.61 |
How the 62365 rate is calculated
Each of 62365’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 · 62365
RVUs × geographic indexes × conversion factor
Work3.83
3.83 RVUs× 1.000 GPCI
Practice expense4.05
4.05 RVUs× 1.000 GPCI
Malpractice0.98
0.98 RVUs× 1.000 GPCI
Adjusted RVUs
8.8600
Conversion factor
$33.4009
Medicare rate
$295.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62365
62365 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62365
Pump removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 62365
Pump removal
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62365 without 51 · national facility
$295.93
Pump removal
62365-51 · Second procedure: 50%
$147.97
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
62365 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62355Catheter removal
- 62365 is for removing the implanted infusion pump; 62355 is for removing the spinal canal catheter. If both are removed, document each service performed.
- 62361Spinal pump
- 62361 covers implantation of a nonprogrammable spinal infusion pump, not removal of an existing pump.
- 62367Pump analysis
- 62367 is for electronic analysis of an implanted spinal infusion pump. It does not describe surgical pump removal.
62365 billing questions
When should this code be used instead of 62355?
Use 62365 when the implanted spinal infusion pump is removed. Code 62355 describes removal of the spinal canal catheter, which may be a separate service if the catheter is also taken out.
Can catheter removal be reported with pump removal?
It may be separately reported when the spinal canal catheter is also removed during the operation. Document the catheter removal separately from the pump explant.
Can this code be reported when a replacement pump is implanted?
Yes. When a new pump is implanted in the same session, report the removal and the applicable implantation service; the multiple-procedure payment rule may affect payment.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this service; report the pump removal without modifier 50.
What documentation supports the service?
The operative report should establish that the implanted pump was removed and state the clinical reason, such as infection, malfunction, or discontinued therapy. Record separately whether the catheter was removed or a replacement pump was implanted.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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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