No office rate
Both cover spinal canal catheter work for long-term medication delivery. The distinguishing factor is access: 62351 involves laminectomy; 62350 does not.
On this page
CMS RVU26D · Effective 2026-10-01
62351 Spinal catheter Medicare reimbursement rates in Rhode Island
Reports surgical placement, revision, or replacement of a long-term spinal canal medication catheter when laminectomy is used to reach the canal. Compare 62351 office and facility rates across CMS payment localities in Rhode Island.
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 62351 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$919.49
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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 surgery
About 62351: Spinal canal catheter implantation with laminectomy
Reports surgical placement, revision, or replacement of a long-term spinal canal medication catheter when laminectomy is used to reach the canal.
This service covers placing, revising, or replacing a catheter in the spinal canal for long-term medication delivery when the surgeon uses a laminectomy for access. Neurosurgeons and pain-management surgeons typically perform it in an operating room. Common clinical settings include intrathecal drug delivery for persistent pain or severe spasticity, including therapy that may use an implanted infusion pump.
Choose this code when the documented catheter procedure uses a laminectomy; the related catheter code without laminectomy is 62350. The operative report should support the access approach and describe whether the catheter was implanted, revised, or replaced. A separately implanted pump has its own code when that service is also performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made, co-surgeons are permitted, and team surgery is not permitted.
CMS billing rules for 62351
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.37 · 42%
- Practice expense (office) RVU11.85 · 43%
- Malpractice RVU4.15 · 15%
145
Medicare services in 2024 · #4589 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.
62351 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
62355 describes removal of an implanted spinal canal catheter. Choose 62351 for placement, revision, or replacement involving laminectomy, not removal alone.
No office rate
62361 covers implantation of a nonprogrammable infusion pump, rather than the spinal canal catheter. It may be reported with catheter work when both services are performed.
No office rate
62362 covers implantation of a programmable infusion pump, rather than the spinal canal catheter. It may be reported with catheter work when both services are performed.
Compare 62351 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.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
Unavailable
Facility
$919.49
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 62351 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,977
- Code
- 62351
- Physician work
- 11.37
- Practice expense
- 11.85
- Malpractice
- 4.15
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.37 | × 1.019 | 11.5860 |
| Practice expense | 11.85 | × 1.033 | 12.2410 |
| Malpractice | 4.15 | × 0.892 | 3.7018 |
| Total RVUs | 27.5289 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$919.49
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.37 | 1.019 |
| Practice expense | 11.85 | 1.033 |
| Malpractice | 4.15 | 0.892 |
(11.37 × 1.019 + 11.85 × 1.033 + 4.15 × 0.892) × $33.4009 = $919.49
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
62351 billing questions
When should I choose 62351 instead of 62350?
Use 62351 when the catheter placement, revision, or replacement uses a laminectomy for access. Use 62350 for the corresponding catheter service without laminectomy.
Can the catheter and an infusion pump be reported for the same operation?
Yes, when both catheter work and pump implantation are performed and documented, consider the applicable pump code as well. The catheter code describes the catheter service, not the pump itself.
Should modifier 50 be appended?
No. CMS identifies modifier 50 as inappropriate for this service.
What documentation supports this code?
The operative report should identify the catheter work and establish that a laminectomy was used for access. It should also distinguish catheter placement, revision, or replacement from any separately performed pump implantation.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. CMS treats this as major surgery.
How are multiple procedures in the same session paid?
CMS pays the highest-valued procedure in full and the other procedures at 50%. Assistant-at-surgery payment may be made, co-surgeons are permitted, and 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 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.
6,97462330,,Dcmprn prq rmv lig flv 1lmbr,A,,8.00,5.64,NA,5.64,,0.71,14.35,14.35,0,090,0.11,0.76,0.13,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97562331,,Dcmprn prq rmv lig flv addl,A,,4.25,1.03,NA,1.03,,0.38,5.66,5.66,0,ZZZ,0.00,0.00,0.00,0,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537