No office rate
Use 62350 for placement, revision, or repositioning of a spinal catheter without laminectomy; use 62355 when removing the catheter.
On this page
CMS RVU26D · Effective 2026-10-01
62355 Catheter removal Medicare reimbursement rates in Wisconsin
Removal of a previously implanted spinal canal catheter without laminectomy, commonly performed when an intrathecal or epidural drug-delivery catheter is no longer needed. Compare 62355 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 62355 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
$255.29
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.
Spinal procedures
About 62355: Spinal canal catheter removal
Removal of a previously implanted spinal canal catheter without laminectomy, commonly performed when an intrathecal or epidural drug-delivery catheter is no longer needed.
This procedure removes a previously implanted catheter from the spinal canal without performing a laminectomy. It may be part of care for a patient with an intrathecal or epidural medication-delivery system when the catheter is no longer needed or must be removed. Neurosurgeons, anesthesiologists specializing in pain medicine, and other qualified surgeons may perform it, typically in an operating room or other surgical setting. This code describes removal of the catheter, not removal of an implanted infusion pump or reservoir.
Report the code when the operative record supports removal of the spinal catheter without laminectomy. Documentation should identify the catheter removed, the reason for removal, and the approach used, including whether a laminectomy was performed. CMS assigns 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 62355
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.46 · 41%
- Practice expense (office) RVU4.09 · 49%
- Malpractice RVU0.86 · 10%
842
Medicare services in 2024 · #3100 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.
62355 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
62351 covers spinal catheter placement, revision, or repositioning with laminectomy. This code covers catheter removal without laminectomy.
No office rate
62365 is for removal of the implanted infusion pump or reservoir, not the spinal canal catheter.
Compare 62355 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
$255.29
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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 62355 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
6,978
- Code
- 62355
- Physician work
- 3.46
- Practice expense
- 4.09
- Malpractice
- 0.86
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.46 | × 1.000 | 3.4600 |
| Practice expense | 4.09 | × 0.958 | 3.9182 |
| Malpractice | 0.86 | × 0.308 | 0.2649 |
| Total RVUs | 7.6431 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$255.29
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.46 | 1 |
| Practice expense | 4.09 | 0.958 |
| Malpractice | 0.86 | 0.308 |
(3.46 × 1 + 4.09 × 0.958 + 0.86 × 0.308) × $33.4009 = $255.29
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.
62355 billing questions
How is catheter removal different from pump removal?
This code is for removal of the spinal canal catheter. Use 62365 for removal of the implanted infusion pump or reservoir; when both are removed, document each distinct removal.
Does this code include a laminectomy?
No. This code represents catheter removal without laminectomy. The operative note should make the approach clear.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
Are postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in the 10-day global period.
When is an assistant at surgery payable?
CMS allows assistant-at-surgery payment only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
6,97562331,,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
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
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,,,,,,