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CMS RVU26D · Effective 2026-10-01

62361 Spinal pump Medicare reimbursement rates in Michigan

Reports surgical implantation or replacement of a spinal infusion pump that delivers medication into the intrathecal or epidural space. Compare 62361 office and facility rates across CMS payment localities in Michigan.

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 62361 in Michigan?

Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$453.46–$503.74

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $50.28 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.

Find 62361 in your payment locality →

Pain management

About 62361: Spinal infusion pump implantation

Reports surgical implantation or replacement of a spinal infusion pump that delivers medication into the intrathecal or epidural space.

This service covers the operative placement or replacement of an implanted pump that delivers medication into the spinal canal or epidural space. Pain specialists, neurosurgeons, and other qualified surgeons may perform it in a hospital or ambulatory surgical setting for patients needing ongoing medication delivery, such as treatment for severe chronic pain or spasticity. The pump is placed under the skin and connected to the medication-delivery catheter; catheter work should be coded according to the work actually performed and the applicable CPT code.

Report the pump procedure supported by the operative record, including the indication, device implanted or replaced, medication-delivery route, and work on the pump and catheter. Related postoperative visits are included in the 10-day global period. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery and co-surgeon payment require supporting medical-necessity documentation; team surgery is not permitted.

CMS billing rules for 62361

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.88 · 35%
  • Practice expense (office) RVU6.99 · 50%
  • Malpractice RVU2.05 · 15%

38

Medicare services in 2024 · #5532 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.

62361 compared with similar codes

Office rates for Michigan, from the same CMS release.

62350

Spinal catheter

Without laminectomy

No office rate

62350 describes implantation, revision, or repositioning of an intrathecal or epidural catheter without laminectomy. Use 62361 for the pump procedure, not catheter work alone.

62351

Spinal catheter

Laminectomy approach

No office rate

62351 describes catheter implantation, revision, or repositioning with a laminectomy approach. It is not the pump implantation service.

62367

Pump analysis

Without reprogramming

$32.22–$33.99

62367 is for analysis of an implanted spinal infusion pump. Choose 62361 for the surgical pump implantation or replacement service, not a pump check.

Compare 62361 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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62361 billing questions

How is this code distinguished from 62350 or 62351?

This code reports the spinal infusion pump procedure. Codes 62350 and 62351 describe implantation or revision of the intrathecal or epidural catheter, with the latter involving a laminectomy approach.

Can catheter work be reported separately?

Catheter implantation or revision may be separately reportable when that work is performed and supported by the operative documentation. Use the catheter code that matches the documented service and approach.

Does the 10-day global period include postoperative visits?

Yes. Related postoperative visits during the 10 days after the procedure are included in the global period.

Can modifier 50 be used for pump placement?

No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this procedure.

When is assistant-at-surgery payment supported?

Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeon payment also requires supporting documentation.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.

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.

RVUs for 62361PPRRVU2026_Oct_nonQPP.csv, line 6,980 (RVU26D)