CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 62368 RVU and Medicare Payment (2026)
Analyze sp inf pump w/reprog — 0.65 work RVU, about $46.43 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 0.65
- PE RVU (non-facility)
- 0.67
- PE RVU (facility)
- 0.16
- MP RVU
- 0.07
- Office payment
- $46.43
- Facility payment
- $29.39
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 62368 in a non-facility setting with national GPCI: (0.65 + 0.67 + 0.07) × $33.4009 ≈ $46.43. The same code in a facility setting pays about $29.39 because facility PE RVU (0.16) replaces office PE RVU.
What changes by locality
GPCI moves 62368 non-facility payment from $42.14 to $57.69 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 62368?
0.65. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 62368 in 2026?
About $46.43 non-facility ($29.39 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (0.65) and malpractice RVU stay fixed; only practice expense changes (0.67 office vs 0.16 facility). That is the entire office-vs-facility payment gap.