Billing code 36262: Infusion pump removalMedicare rate & RVUs in Washington
Removal of an implanted arterial infusion pump, such as a hepatic artery chemotherapy pump, when the pump is surgically explanted.
CMS doesn’t publish an office rate for 36262 in Washington.
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 36262 covers
This service covers surgical removal of an implanted pump used to deliver medication through an arterial catheter. A common setting is removal of a hepatic artery infusion pump used for regional chemotherapy. A vascular surgeon or another physician with the appropriate surgical role typically performs the procedure in a hospital or other surgical facility. This code is for an arterial infusion pump, not a pump implanted for intrathecal or epidural drug delivery.
Report the code when the operative record supports removal of the implanted arterial pump; document the indication and the work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are 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 36262 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | Unavailable | $317.18 |
| Seattle (King Cnty) | Unavailable | $349.61 |
How the 36262 rate is calculated
Each of 36262’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 · 36262
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.01Practice expense 4.38Malpractice 1.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 36262
36262 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 36262
Infusion pump removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 36262
Infusion pump removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36262 without 51 · national facility
$316.31
Infusion pump removal
36262-51 · Second procedure: 50%
$158.16
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%).
36262 compared with similar codes
Compare codes
36262 vs 36260 vs 36261 vs 62365: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 36260Pump insertion
- 36260 describes insertion of an infusion pump. Use 36262 when the implanted arterial pump is being removed.
- 36261Pump revision
- 36261 describes revision of an implanted infusion pump; 36262 describes removal of the pump.
- 62365Pump removal
- 62365 is for removing a pump implanted for intrathecal or epidural drug delivery. Code 36262 is for an arterial infusion pump.
36262 billing questions
How is pump removal distinguished from revision?
Use 36262 when the implanted arterial infusion pump is removed. Use 36261 when the pump is revised rather than removed.
Does this code describe removal of an intrathecal pump?
No. This code is for an implanted arterial infusion pump, such as a hepatic artery pump. Removal of a pump implanted for intrathecal or epidural drug delivery is represented by 62365.
What documentation supports reporting 36262?
The operative report should identify the implanted arterial infusion pump, state why it was removed, and describe the removal performed.
How does Medicare treat other procedures performed during the same session?
The highest-valued procedure is paid in full and other procedures are paid at 50%. The code has a 90-day global period for related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service.
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
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