# CPT 96522: Refilling and maintenance of implantable pump or reservoir

Medicare CPT 96522 pays $125.25 in a non-facility setting and $125.25 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $107.78 in Arkansas to $146.53 in District of Columbia, a 36% spread.

Web page: https://www.med-reveal.com/rates/96522-cpt-fee-schedule
Section: Medical and Therapeutic Services

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $125.25 |
| National facility | $125.25 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $146.53 | $146.53 |
| California | $145.67 | $145.67 |
| Washington | $141.21 | $141.21 |
| New Jersey | $140.41 | $140.41 |
| Hawaii | $140.15 | $140.15 |
| New York | $139.82 | $139.82 |
| Massachusetts | $139.40 | $139.40 |
| Alaska | $135.24 | $135.24 |
| Connecticut | $134.81 | $134.81 |
| Colorado | $132.24 | $132.24 |
| Oregon | $130.87 | $130.87 |
| Maryland | $130.45 | $130.45 |
| New Hampshire | $129.71 | $129.71 |
| Rhode Island | $128.96 | $128.96 |
| Florida | $127.85 | $127.85 |
| Minnesota | $126.97 | $126.97 |
| Puerto Rico | $126.49 | $126.49 |
| Virgin Islands | $126.49 | $126.49 |
| Montana | $125.25 | $125.25 |
| Nevada | $124.98 | $124.98 |
| Wyoming | $124.65 | $124.65 |
| North Dakota | $123.86 | $123.86 |
| South Dakota | $123.70 | $123.70 |
| Delaware | $123.66 | $123.66 |
| Illinois | $123.50 | $123.50 |
| Texas | $123.33 | $123.33 |
| Pennsylvania | $123.10 | $123.10 |
| Vermont | $122.94 | $122.94 |
| Virginia | $122.60 | $122.60 |
| Arizona | $121.32 | $121.32 |
| Georgia | $120.39 | $120.39 |
| Maine | $119.23 | $119.23 |
| Michigan | $119.14 | $119.14 |
| Wisconsin | $118.77 | $118.77 |
| Utah | $118.06 | $118.06 |
| North Carolina | $116.64 | $116.64 |
| New Mexico | $116.10 | $116.10 |
| South Carolina | $116.09 | $116.09 |
| Missouri | $115.67 | $115.67 |
| Indiana | $115.59 | $115.59 |
| Louisiana | $115.28 | $115.28 |
| Ohio | $115.19 | $115.19 |
| Nebraska | $114.87 | $114.87 |
| Idaho | $114.75 | $114.75 |
| Iowa | $113.99 | $113.99 |
| Tennessee | $113.62 | $113.62 |
| Kansas | $112.97 | $112.97 |
| Oklahoma | $112.33 | $112.33 |
| Kentucky | $112.19 | $112.19 |
| West Virginia | $111.08 | $111.08 |
| Alabama | $109.75 | $109.75 |
| Mississippi | $108.53 | $108.53 |
| Arkansas | $107.78 | $107.78 |

## Related codes

- 96360: Intravenous infusion, hydration, initial 31 minutes to 1 hour — https://www.med-reveal.com/rates/96360-cpt-fee-schedule
- 96361: Intravenous infusion, hydration, each additional hour (add-on) — https://www.med-reveal.com/rates/96361-cpt-fee-schedule
- 96365: Intravenous infusion, for therapy/prophylaxis/diagnosis, initial, up to 1 hour — https://www.med-reveal.com/rates/96365-cpt-fee-schedule
- 96366: Intravenous infusion, therapy, each additional hour (add-on) — https://www.med-reveal.com/rates/96366-cpt-fee-schedule
- 96367: Intravenous infusion, additional sequential infusion, up to 1 hour (add-on) — https://www.med-reveal.com/rates/96367-cpt-fee-schedule
- 96368: Intravenous infusion, concurrent infusion (add-on) — https://www.med-reveal.com/rates/96368-cpt-fee-schedule
- 96369: Subcutaneous infusion for therapy/prophylaxis, initial, up to 1 hour — https://www.med-reveal.com/rates/96369-cpt-fee-schedule
- 96370: Subcutaneous infusion, each additional hour (add-on) — https://www.med-reveal.com/rates/96370-cpt-fee-schedule

Commercial negotiated rates for 96522 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules