No office rate
62350 describes implantation or revision of the spinal catheter. 62360 describes implantation or replacement of the nonprogrammable pump.
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CMS RVU26D · Effective 2026-10-01
62360 Infusion pump implant Medicare reimbursement rates in New Jersey
Report this service for implantation or replacement of a nonprogrammable pump that delivers medication into the intrathecal or epidural space. Compare 62360 office and facility rates across CMS payment localities in New Jersey.
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 62360 in New Jersey?
New Jersey 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
$332.04–$343.61
2 of 2 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.
Pain management
About 62360: Nonprogrammable spinal infusion pump implantation
Report this service for implantation or replacement of a nonprogrammable pump that delivers medication into the intrathecal or epidural space.
A surgeon, commonly a neurosurgeon or pain specialist, implants or replaces a nonprogrammable pump used for long-term medication delivery into the intrathecal or epidural space. The pump is generally placed beneath the skin and connected to a catheter that delivers medication near the spinal cord. This service is distinct from placing or replacing the catheter alone and is commonly performed in a facility setting for patients needing ongoing medication infusion.
Select this code when the implanted or replacement device is nonprogrammable; documentation should identify the device and support the pump procedure performed. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 62360
- 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 RVU4.22 · 45%
- Practice expense (office) RVU4.09 · 44%
- Malpractice RVU0.99 · 11%
145
Medicare services in 2024 · #4590 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.
62360 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
62351 is the device-placement code associated with a procedure performed with laminectomy; 62360 identifies a nonprogrammable pump.
No office rate
Choose 62360 for a nonprogrammable pump and the applicable programmable-pump code when the implanted device can be programmed.
No office rate
62362 is a related programmable-pump implantation or replacement code; 62360 is for a nonprogrammable pump.
Compare 62360 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
Northern Nj →
Office / nonfacility
Unavailable
Facility
$343.61
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$332.04
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62360 billing questions
How does 62360 differ from 62361 or 62362?
62360 is for implantation or replacement of a nonprogrammable pump. Use the applicable sibling code when the implanted pump is programmable.
Is catheter placement included in this pump service?
Pump implantation is distinct from implantation of the spinal catheter. When a catheter is separately placed, consider the catheter code based on the service performed and the applicable coding rules.
Should modifier 50 be appended for bilateral placement?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
What documentation supports reporting 62360?
Document that the service was implantation or replacement of a nonprogrammable infusion pump, along with the device and the procedure performed. Documentation for assistant-at-surgery or co-surgeon services must support the applicable payment criteria.
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.
6,97662350,,Implant spinal canal cath,A,,5.90,4.24,NA,4.24,,1.17,11.31,11.31,0,010,0.10,0.80,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97762351,,Implant spinal canal cath,A,,11.37,11.85,NA,11.85,,4.15,27.37,27.37,0,090,0.11,0.76,0.13,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97862355,,Remove spinal canal catheter,A,,3.46,4.09,NA,4.09,,0.86,8.41,8.41,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97962360,,Insert spine infusion device,A,,4.22,4.09,NA,4.09,,0.99,9.30,9.30,0,010,0.10,0.80,0.10,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,98062361,,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