$45.80–$49.72
Use 62367 when the pump is analyzed without changing its settings. Use 62368 when the clinician reprograms the pump.
On this page
CMS RVU26D · Effective 2026-10-01
62367 Pump analysis Medicare reimbursement rates in Illinois
Report 62367 when a clinician electronically checks a programmable implanted intrathecal or epidural infusion pump without changing its settings or refilling it. Compare 62367 office and facility rates across CMS payment localities in Illinois.
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 62367 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
$32.95–$35.75
4 of 4 localities have a supported rate.
Facility setting
$21.97–$23.67
4 of 4 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 62367 pays more and less in Illinois
4 payment localities
$32.95 to $35.75
Pain management
About 62367: Implanted spinal infusion pump analysis
Report 62367 when a clinician electronically checks a programmable implanted intrathecal or epidural infusion pump without changing its settings or refilling it.
A clinician uses the pump programmer to interrogate a programmable implanted pump that delivers medication into the intrathecal or epidural space. The analysis may be part of a scheduled pump check or evaluation of an alarm or suspected delivery issue. Pain management physicians and other qualified clinicians commonly perform this service in a pain clinic, office, or hospital setting. The code describes analysis without reprogramming; it is not the code for implanting or removing a pump.
Select 62367 when the documented service is electronic analysis only: the clinician reviews pump information but does not change the programmed settings or refill the reservoir. The record should identify the pump and document the analysis performed and its findings. If the clinician reprograms the device, consider 62368; if the service also includes reprogramming and a refill, consider the applicable refill-and-reprogramming code instead. Report the service actually performed, not a planned or discussed change.
Where the value comes from
- Work RVU0.47 · 47%
- Practice expense (office) RVU0.48 · 48%
- Malpractice RVU0.05 · 5%
6.7K
Medicare services in 2024 · #1685 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.
62367 compared with similar codes
Office rates for Illinois, from the same CMS release.
$92.15–$101.13
62369 covers pump analysis with reprogramming and refill; 62367 is for analysis without either.
$93.03–$101.22
62370 is another code for pump analysis with reprogramming and refill. Choose it rather than 62367 when the documented service matches that fuller service.
Compare 62367 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
$35.75
Facility
$23.67
East St. Louis →
Office / nonfacility
$33.81
Facility
$22.75
Rest Of Illinois →
Office / nonfacility
$32.95
Facility
$21.97
Suburban Chicago →
Office / nonfacility
$35.23
Facility
$22.88
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62367 billing questions
Can 62367 be reported when the clinician changes a pump setting?
No. When the analysis includes reprogramming, 62368 is the related code to consider.
Does 62367 include a medication refill?
No. It covers electronic analysis without reprogramming or refill. Reprogramming-and-refill services are represented by 62369 or 62370, as applicable.
Which pumps are covered by this code?
It applies to programmable implanted pumps delivering medication intrathecally or epidurally, not external infusion pumps.
What should the note document?
Document the implanted pump, the electronic analysis performed, and the findings reviewed. The record should support that the service did not include reprogramming or refill.
Can 62367 be used for pump implantation?
No. It reports analysis of an implanted pump. Pump insertion is a separate service, such as 62361 or 62362, depending on the device and procedure.
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.
6,98062361,,Implant spine infusion pump,A,,4.88,6.99,NA,6.99,,2.05,13.92,13.92,0,010,0.10,0.80,0.10,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98162362,,Implant spine infusion pump,A,,5.46,4.41,NA,4.41,,1.26,11.13,11.13,0,010,0.10,0.80,0.10,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98262365,,Remove spine infusion device,A,,3.83,4.05,NA,4.05,,0.98,8.86,8.86,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98362367,,Analyze spine infus pump,A,,0.47,0.48,,0.12,,0.05,1.00,0.64,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98462368,,Analyze sp inf pump w/reprog,A,,0.65,0.67,,0.16,,0.07,1.39,0.88,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98562369,,Anal sp inf pmp w/reprg&fill,A,,0.65,2.19,,0.17,,0.07,2.91,0.89,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98662370,,Anl sp inf pmp w/mdreprg&fil,A,,0.88,1.95,,0.22,,0.08,2.91,1.18,0,XXX,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00