No office rate
Both codes describe tunneled catheter placement, revision, or repositioning for long-term infusion. The distinguishing factor is whether laminectomy is performed.
On this page
CMS RVU26D · Effective 2026-10-01
62350 Spinal catheter Medicare reimbursement rates in Wisconsin
Reports placement, revision, or repositioning of a tunneled spinal catheter for long-term medication delivery when the procedure is performed without laminectomy. Compare 62350 office and facility rates across CMS payment localities in Wisconsin.
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 62350 in Wisconsin?
Wisconsin 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
$344.77
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 procedure
About 62350: Tunneled spinal drug-delivery catheter placement
Reports placement, revision, or repositioning of a tunneled spinal catheter for long-term medication delivery when the procedure is performed without laminectomy.
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.
CMS billing rules for 62350
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.90 · 52%
- Practice expense (office) RVU4.24 · 37%
- Malpractice RVU1.17 · 10%
4.7K
Medicare services in 2024 · #1912 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.
62350 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$146.30
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.
$252.96
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.
Compare 62350 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
Wisconsin →
Office / nonfacility
Unavailable
Facility
$344.77
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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 62350 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
6,976
- Code
- 62350
- Physician work
- 5.90
- Practice expense
- 4.24
- Malpractice
- 1.17
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.90 | × 1.000 | 5.9000 |
| Practice expense | 4.24 | × 0.958 | 4.0619 |
| Malpractice | 1.17 | × 0.308 | 0.3604 |
| Total RVUs | 10.3223 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$344.77
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.9 | 1 |
| Practice expense | 4.24 | 0.958 |
| Malpractice | 1.17 | 0.308 |
(5.9 × 1 + 4.24 × 0.958 + 1.17 × 0.308) × $33.4009 = $344.77
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.
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 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.
6,97362329,,Ther spi pnxr csf fluor/ct,A,,1.98,5.86,,0.45,,0.35,8.19,2.78,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,