2025 CPT code 62361
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Implantation or replacement of a non-programmable pump for intrathecal or epidural drug infusion.
Modifiers may be applicable. Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity must be established by documenting the patient's condition, failed conservative treatments, and the rationale for using a non-programmable intrathecal or epidural pump for medication delivery.
The physician is responsible for prepping and anesthetizing the patient, making the necessary incisions, creating the subcutaneous pocket, placing the pump, tunneling the catheter, connecting the catheter to the pump, ensuring catheter patency, closing the incision, and dressing the wound.For replacements, the physician also removes the old pump and reattaches the existing catheter.
In simple words: A non-programmable pump is placed under the skin to deliver pain medication directly to the area around the spinal cord.The doctor makes a small cut, usually in the belly, creates a pocket for the pump, and tunnels a small tube to the spine. The tube is connected to the pump, which is filled with medication. If an old pump is being replaced, the doctor removes it and puts in a new one.
This procedure involves the implantation or replacement of a non-programmable pump beneath the skin. This pump is used for continuous infusion of medication into the intrathecal or epidural space. The procedure includes creating a subcutaneous pocket for the pump, tunneling a catheter to the spinal incision site, connecting the catheter to the pump, and closing the incision. For replacements, the existing pump is removed and replaced with a new one, and the catheter is reattached.
Example 1: A patient with chronic back pain unresponsive to other treatments requires a non-programmable intrathecal pump for continuous pain medication delivery., A patient with spasticity due to multiple sclerosis needs a non-programmable pump implanted to deliver muscle relaxants., A patient's existing intrathecal pain pump malfunctions and needs to be replaced with a new non-programmable pump.
Documentation should include the type of pump implanted, the location of the incision and pump placement, the method of catheter placement, confirmation of catheter patency, the type of medication used to fill the pump, and any complications encountered during the procedure. Preoperative and postoperative diagnoses, along with the indication for the pump, must also be documented.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Specialties:Neurosurgery, Pain Management, Anesthesiology
- Place of Service:Ambulatory Surgical Center, Hospital Inpatient, Hospital Outpatient