2025 CPT code 62360

Implantation or replacement of a subcutaneous reservoir for intrathecal or epidural drug infusion.

Follow current CPT coding guidelines for surgical procedures.Accurate documentation is crucial for appropriate reimbursement.

Modifiers may apply depending on the circumstances of the procedure. Refer to the CPT manual for guidance.

Medical necessity is determined based on the patient's condition and the failure of less invasive treatment options for chronic pain or spasticity.Documentation must demonstrate the patient's intractable pain or spasticity and the need for this invasive procedure.

The neurosurgeon or pain management specialist is responsible for implanting or replacing the reservoir and catheter.Anesthesiologists may be involved in providing anesthesia.

IMPORTANT Related codes include 62361 (non-programmable pump) and 62362 (programmable pump).The choice of code depends on the type of infusion pump used.

In simple words: The doctor puts a small device under the skin to deliver medicine directly to the spine to help manage pain or muscle stiffness.This involves a small incision and connecting a tube from the device to the spine.

This procedure involves the surgical implantation or replacement of a subcutaneous reservoir for the delivery of medications into the intrathecal or epidural space.The reservoir is typically placed in the abdomen. A tunneled catheter connects the reservoir to the intrathecal or epidural space in the spine. The procedure may involve creating a subcutaneous pocket for the reservoir, tunneling the catheter, and securing the connection with sutures.If replacing an existing reservoir, the old reservoir is removed before the new one is implanted.

Example 1: A patient with chronic back pain unresponsive to oral medications undergoes implantation of a subcutaneous reservoir for intrathecal morphine infusion., A patient with multiple sclerosis experiencing severe spasticity has a subcutaneous reservoir implanted for baclofen infusion., A patient with an existing implanted reservoir requiring replacement due to malfunction undergoes a replacement procedure with a new reservoir and reconnection of the existing catheter.

Pre-operative imaging (MRI or CT scan), informed consent, operative report detailing the procedure, catheter placement verification (radiographic imaging), postoperative instructions to the patient, and follow-up assessments.

** The provided sources offer information on the use of implantable pumps for the management of chronic pain and spasticity.However, payer policies and medical necessity criteria may vary.Always refer to payer guidelines for specific coverage requirements.

  • Revenue Code: P1G (Major Procedure - Other)
  • RVU: This information is not available in the provided sources.RVUs vary by payer and location.
  • Global Days : The global period for this procedure is not specified in the provided sources and varies depending on payer and local policies.
  • Payment Status: Active
  • Modifier TC rule: Information on TC modifiers is not available in the provided sources. Consult the CPT manual for guidance.
  • Fee Schedule : This information is not available in the provided sources. Fee schedules vary by payer and location.
  • Specialties:Neurosurgery, Pain Management, Anesthesiology
  • Place of Service:Inpatient Hospital, Ambulatory Surgical Center
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