Billing code 62362: Infusion pump implantMedicare rate & RVUs in Guam
Reports implantation or replacement of a programmable pump that delivers medication into the intrathecal or epidural space for ongoing treatment.
CMS doesn’t publish an office rate for 62362 in Guam.
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 62362 covers
This service covers surgical implantation or replacement of a programmable pump for intrathecal or epidural medication delivery. A neurosurgeon, pain physician, or other qualified surgeon typically places the pump beneath the skin, commonly for chronic pain or severe spasticity requiring ongoing medication such as an opioid or baclofen. The pump can be programmed to control medication delivery over time. Pump preparation and filling are included when performed as part of the service.
Select this code when the implanted device is a programmable pump; the operative report should identify the pump and document implantation or replacement and the medication-delivery approach. The procedure has a 10-day global period, so related postoperative visits during that period are included. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery and co-surgeon payment require supporting documentation of medical necessity, and team surgery is 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.
62362 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $374.21 |
How the 62362 rate is calculated
Each of 62362’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 · 62362
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.46Practice expense 4.41Malpractice 1.26
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62362
62362 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 62362
Infusion pump implant
| 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) | 1 | Permitted with supporting documentation. |
| 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 · 62362
Infusion pump implant
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
62362 without 51 · national facility
$371.75
Infusion pump implant
62362-51 · Second procedure: 50%
$185.88
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%).
62362 compared with similar codes
Compare codes
62362 vs 62361 vs 62350 vs 62367: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62361Spinal pump
- Both describe spinal infusion pump implantation options. Choose based on the pump configuration identified in the operative record and the applicable code descriptor.
- 62350Spinal catheter
- This code concerns implantation of the pump; 62350 describes implantation or revision of a tunneled intrathecal or epidural catheter for long-term medication delivery.
- 62367Pump analysis
- 62367 reports analysis of an implanted pump, rather than surgical placement or replacement of the pump.
62362 billing questions
How does this differ from 62361?
Use 62362 for the programmable pump configuration. Code 62361 represents a different pump implantation option; check the device configuration against the applicable code descriptor.
Is pump filling reported separately at implantation?
Pump preparation and filling are included when performed as part of this implantation or replacement service.
Can the spinal catheter be reported separately?
A distinct catheter implantation service may be separately reportable when performed and documented. The operative note should identify the catheter work in addition to the pump procedure.
Should modifier 50 be appended for a pump on each side?
No. CMS identifies bilateral adjustment as inappropriate for this code, and modifier 50 should not be used.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure.
When may an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment also requires supporting documentation; 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 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
Fee sheets
Put 62362 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →