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See a sample rate comparisonCPT 62368 Fee Schedule
Medicare rates as of October 2026
CPT 62368 is classified under Surgery, in the Surgical Procedures on the Nervous System subgroup.
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 | 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $46.43 national non-facility rate (2026) · View Medicare rates for 62368 |
| Medicaid Fee Schedule | $37.305 median of the 8 states in the free preview · View Medicaid rates for 62368 |
National average reimbursement for CPT 62368 by major payers:
$59.09
BCBS / Anthem
$68.70
UnitedHealthcare
$71.65
Aetna
$62.03
Cigna
Compare published rates across providers.
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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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Payer Contract Negotiation
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See a sample payer proposalCPT 62368 vs. Other Surgical Procedures on the Nervous System Codes
The table lists codes related to 62368. Select one to see its fee schedule.
| 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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