No office rate
Both describe spinal infusion pump implantation options. Choose based on the pump configuration identified in the operative record and the applicable code descriptor.
On this page
CMS RVU26D · Effective 2026-10-01
62362 Infusion pump implant Medicare reimbursement rates in Rhode Island
Reports implantation or replacement of a programmable pump that delivers medication into the intrathecal or epidural space for ongoing treatment. Compare 62362 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 62362 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
$375.53
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
About 62362: Programmable spinal infusion pump implantation
Reports implantation or replacement of a programmable pump that delivers medication into the intrathecal or epidural space for ongoing treatment.
This service covers surgical implantation or replacement of a programmable pump for intrathecal or epidural medication delivery. A neurosurgeon, pain physician, or other qualified surgeon typically places the pump beneath the skin, commonly for chronic pain or severe spasticity requiring ongoing medication such as an opioid or baclofen. The pump can be programmed to control medication delivery over time. Pump preparation and filling are included when performed as part of the service.
Select this code when the implanted device is a programmable pump; the operative report should identify the pump and document implantation or replacement and the medication-delivery approach. The procedure has a 10-day global period, so related postoperative visits during that period are included. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery and co-surgeon payment require supporting documentation of medical necessity, and team surgery is not permitted.
CMS billing rules for 62362
- 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 RVU5.46 · 49%
- Practice expense (office) RVU4.41 · 40%
- Malpractice RVU1.26 · 11%
7.2K
Medicare services in 2024 · #1640 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.
62362 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This code concerns implantation of the pump; 62350 describes implantation or revision of a tunneled intrathecal or epidural catheter for long-term medication delivery.
$34.05
62367 reports analysis of an implanted pump, rather than surgical placement or replacement of the pump.
Compare 62362 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
$375.53
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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 62362 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,981
- Code
- 62362
- Physician work
- 5.46
- Practice expense
- 4.41
- Malpractice
- 1.26
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.46 | × 1.019 | 5.5637 |
| Practice expense | 4.41 | × 1.033 | 4.5555 |
| Malpractice | 1.26 | × 0.892 | 1.1239 |
| Total RVUs | 11.2432 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$375.53
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.46 | 1.019 |
| Practice expense | 4.41 | 1.033 |
| Malpractice | 1.26 | 0.892 |
(5.46 × 1.019 + 4.41 × 1.033 + 1.26 × 0.892) × $33.4009 = $375.53
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.
62362 billing questions
How does this differ from 62361?
Use 62362 for the programmable pump configuration. Code 62361 represents a different pump implantation option; check the device configuration against the applicable code descriptor.
Is pump filling reported separately at implantation?
Pump preparation and filling are included when performed as part of this implantation or replacement service.
Can the spinal catheter be reported separately?
A distinct catheter implantation service may be separately reportable when performed and documented. The operative note should identify the catheter work in addition to the pump procedure.
Should modifier 50 be appended for a pump on each side?
No. CMS identifies bilateral adjustment as inappropriate for this code, and modifier 50 should not be used.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure.
When may an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment also requires supporting documentation; 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.
6,97862355,,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
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
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