Billing code 62350: Spinal catheterMedicare rate & RVUs in Virginia

Reports placement, revision, or repositioning of a tunneled spinal catheter for long-term medication delivery when the procedure is performed without laminectomy.

CMS RVU26DEffective Oct 1, 20262 payment localities4.7K Medicare services in 2024

CMS doesn’t publish an office rate for 62350 in Virginia.

—Office (non-facility)
$363.87–$418.03Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 62350 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Virginia
  2. What 62350 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 62350 covers

This service places, revises, or repositions a tunneled catheter in the intrathecal or epidural space for long-term medication delivery, such as drug infusion for chronic pain or spasticity. Anesthesia and pain specialists, neurosurgeons, and other qualified physicians may perform it in an operating room or another procedural setting. The catheter connects to an external pump or an implanted reservoir or infusion pump; this code describes catheter work, not implantation of the pump itself. Imaging guidance and interpretation, when performed, are included in the service.

Select this code when the tunneled catheter procedure is performed without laminectomy; use its sibling code when laminectomy is performed. Document the catheter route, the placement or revision performed, the long-term infusion purpose, and whether laminectomy was used. Related postoperative visits are included in the 10-day global period. When multiple procedures are performed in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted, co-surgeons require supporting documentation, and team surgery is not permitted.

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 62350 pays more and less in Virginia

62350 office and facility rates by payment locality
Payment localityOfficeFacility
Dc + Md/Va SuburbsUnavailable$418.03
VirginiaUnavailable$363.87

How the 62350 rate is calculated

Each of 62350’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 · 62350

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.90Practice expense 4.24Malpractice 1.17

11.3100 adjusted RVUs×$33.4009 conversion factor=$377.76

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 62350

62350 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 62350

Spinal catheter

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 62350

Spinal catheter

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

62350 without 51 · national facility

$377.76

Spinal catheter

62350-51 · Second procedure: 50%

$188.88

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

62350 compared with similar codes

Compare codes

62350 vs 62351 vs 62324 vs 62325: national Medicare rates

Swap in your local Medicare rate.

  • 62350
    Spinal catheter · 5.9 wRVU
    —
  • 62351
    Spinal catheter · 11.37 wRVU
    —
  • 62324
    Epidural catheter injection · 1.84 wRVU
    $153.64
  • 62325
    Epidural injection · 2.15 wRVU
    $265.20

How to choose

62351Spinal catheter
Both codes describe tunneled catheter placement, revision, or repositioning for long-term infusion. The distinguishing factor is whether laminectomy is performed.
62324Epidural catheter injection
62324 describes interlaminar injection or infusion through an epidural or subarachnoid catheter in the cervical or thoracic region, rather than tunneled catheter work for long-term medication delivery.
62325Epidural injection
62325 is the imaging-guided counterpart for cervical or thoracic interlaminar injection or infusion; 62350 describes tunneled catheter placement, revision, or repositioning for long-term delivery.

62350 billing questions

How does this differ from 62351?

Use 62350 for the tunneled catheter procedure without laminectomy. Use 62351 when laminectomy is performed.

Does this code include pump implantation?

No. It covers the tunneled catheter work; a separately performed spinal infusion pump or device implantation may be reported with the applicable pump code.

Can the catheter procedure be billed with a pump code?

Yes, when both catheter placement and pump or device implantation are performed. The record should support the distinct work represented by each service.

Can modifier 50 be reported?

No. The anatomy or descriptor makes bilateral adjustment inappropriate for this service.

What documentation supports reporting 62350?

Document the tunneled catheter’s intrathecal or epidural route, whether it was placed, revised, or repositioned, its long-term medication-delivery purpose, and that laminectomy was not performed.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Related postoperative visits are included for 10 days.

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
RVUs for 62350PPRRVU2026_Oct_nonQPP.csv, line 6,976 (RVU26D)

Open CMS sourceHow we calculate rates

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