2025 CPT code 62362

Implantation or replacement of a programmable pump for intrathecal or epidural drug infusion, including pump preparation and optional programming.

Refer to CPT coding guidelines for proper use of this code. Ensure documentation supports the use of a programmable pump and clearly distinguishes this procedure from other intrathecal/epidural interventions.

Modifiers may be applicable depending on the specific circumstances. Refer to current CPT modifier guidelines for detailed information.

Medical necessity must be established for this procedure. This typically includes documentation of intractable pain or spasticity that hasn't responded to less invasive therapies. Specific payer requirements may exist.

The physician is responsible for the entire procedure, from preparing the pump and medication to implanting the device and ensuring proper catheter placement and function. This includes patient preparation, anesthesia, incision creation, pump placement, catheter tunneling and connection, wound closure, and potential device programming.

In simple words: A doctor places or replaces a small, programmable pump under the skin, usually in the belly. This pump delivers pain medication directly to the area around the spinal cord. The procedure includes getting the pump ready, connecting it to a small tube that goes to the spine, and making sure it works correctly.

This procedure involves the implantation or replacement of a programmable pump beneath the skin for continuous intrathecal or epidural drug infusion.The service includes preparing the pump by warming it, removing sterile water, and filling it with the prescribed medication. An incision is made, typically in the abdomen, and a pocket is created for the pump in the deep subcutaneous tissue (for initial implants). For replacements, the existing scar is reopened and the old pump is exchanged for the new one. A subcutaneous tunnel is created to connect the pump to a spinal catheter. After confirming catheter patency, it's connected to and secured to the pump with sutures. The wound is then irrigated, closed, and dressed. Programming of the device may also be included.

Example 1: A patient with chronic back pain unresponsive to conservative treatment undergoes implantation of a programmable intrathecal pain pump., A patient with a failed intrathecal pain pump requires replacement of the device., A patient with severe spasticity due to multiple sclerosis undergoes implantation of a programmable pump for baclofen delivery.

Documentation should include details of prior pain management attempts, patient selection criteria met, type of pump implanted, medication used, surgical technique, catheter placement confirmation, pump programming parameters (if applicable), and post-operative instructions.

** This code represents a complex procedure requiring specialized training and equipment.The pump is typically refilled every 1 to 6 months, and the battery life is usually 7 to 10 years, at which point the entire pump may need replacement.

  • Revenue Code: P1G
  • Specialties:Pain Management, Neurosurgery, Anesthesiology
  • Place of Service:Inpatient Hospital, Ambulatory Surgical Center
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