Billing code 62367: Pump analysisMedicare rate & RVUs in Michigan
Report 62367 when a clinician electronically checks a programmable implanted intrathecal or epidural infusion pump without changing its settings or refilling it.
Medicare pays $32.22–$33.99 for 62367 in the office in Michigan, from Rest Of Michigan to Detroit. Which amount applies depends on the service address.
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 62367 covers
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.
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 62367 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit | $33.99 | $22.38 |
| Rest Of Michigan | $32.22 | $21.24 |
How the 62367 rate is calculated
Each of 62367’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 · 62367
RVUs × geographic indexes × conversion factor
Work0.47
0.47 RVUs× 1.000 GPCI
Practice expense0.48
0.48 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
1.0000
Conversion factor
$33.4009
Medicare rate
$33.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62367
62367 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 62367
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$33.40
- Non-facility (office)
- $33.40
- Facility
- $21.38
Higher because the practice carries its own overhead.
62367 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62368Pump analysis
- Use 62367 when the pump is analyzed without changing its settings. Use 62368 when the clinician reprograms the pump.
- 62369Pump management
- 62369 covers pump analysis with reprogramming and refill; 62367 is for analysis without either.
- 62370Pump refill
- 62370 is another code for pump analysis with reprogramming and refill. Choose it rather than 62367 when the documented service matches that fuller service.
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 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 62367 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 →