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See a sample rate comparisonCPT 62368 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Analyze Sp Inf Pump W Reprog, Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion Includes Evaluation Of Reservoir Status Alarm Status Drug Prescription Status With Reprogramming
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 62368 |
| Medicaid Fee Schedule | View Medicaid rates for 62368 |
National average reimbursement for CPT 62368 by major payers:
$59.09
$68.70
$71.65
$62.03
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CPT 62368
5 of 25 sample ratesHigher to lower in this preview
Wellbridge Surgical, LLC
Wellbridge Surgical
$4,950.00Published rateFranklin Endoscopy Center, LLC, Franklin Endoscopy Center
Franklin Endoscopy Center LLC
$555.00Published rateCentennial Surgery Center Lp
$274.00Published rateWestern Washington Endoscopy Centers LLC, Digestive Health Network Endoscopy Center
Western Washington Endoscopy Centers LLC
$155.00Published rateAdvanced Vision Surgery Center LLC
$58.00Published rate
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See a sample payer proposalCPT 62368 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62368 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 62368 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 62367-CPT | Low | Analyze Spine Infusion Pump, Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion (Includes Evaluation Of Reservoir Status Alarm Status Drug Prescription Status); Without Reprogramming Or Refill |
| 62368-CPT | Low | Analyze Sp Inf Pump W Reprog, Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion Includes Evaluation Of Reservoir Status Alarm Status Drug Prescription Status With Reprogramming |
| 62369-CPT | Low | Anal Sp Inf Pmp W Reprg Fill, Electronic Analysis Of Programmable Implanted Pump For Intrathecal Or Epidural Drug Infusion Includes Evaluation Of Reservoir Status Alarm Status Drug Prescription Status With Reprogramming And Refill |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62368. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62368 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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