2025 CPT code 62350
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Implantation, revision, or repositioning of a tunneled intrathecal or epidural catheter for long-term medication administration, without laminectomy.
Modifiers may be applicable to this code. For example, modifier 22 (Increased Procedural Services) may be used if the procedure was significantly more complex than usual.Modifier 59 (Distinct Procedural Service) might be used to distinguish the procedure from other services provided on the same day.
Medical necessity must be established for this procedure.This typically involves documentation of failed conservative treatments, severity of the condition, and expected benefit from the implanted pump system.Payer-specific guidelines should be consulted.
The physician is responsible for the entire procedure, including patient positioning, prepping and draping, catheter placement verification, securing the catheter, tunneling, connecting to the pump system, and wound closure.Image guidance (fluoroscopy) is often used.
In simple words: The doctor places, adjusts, or replaces a thin tube under the skin near the spinal cord.This tube is connected to a pump that delivers medicine to treat severe pain or other medical problems. This is done without removing any part of the spine bones.
This procedure involves the implantation, revision, or repositioning of a previously implanted and tunneled intrathecal or epidural catheter for long-term medication administration via an external pump or implantable reservoir/infusion pump. It does not include a laminectomy.The catheter is placed into the epidural or intrathecal space of the spinal cord and is connected to a pump system to deliver medication for pain management or other medical conditions.
Example 1: A patient with chronic back pain unresponsive to other treatments requires an intrathecal pain pump implant. The surgeon places a catheter into the intrathecal space and tunnels it to a subcutaneous reservoir., An existing intrathecal catheter has become dislodged.The physician repositions the catheter and confirms proper placement using fluoroscopy., A patient with spasticity requires a new epidural catheter connected to an external pump for medication delivery.The surgeon implants the catheter and tunnels it to the exit site.
Documentation should include the type of catheter placed (intrathecal or epidural), the reason for the procedure (initial placement, revision, repositioning), confirmation of catheter placement, the type of pump system used (external or implantable), and any complications encountered. Operative notes, fluoroscopy reports, and medication orders should be included.
- Global Days : 10 days
- Specialties:Pain Management, Neurosurgery, Anesthesiology
- Place of Service:Ambulatory Surgical Center, Outpatient Hospital, Inpatient Hospital