2025 CPT code 62367

Electronic analysis of an implanted programmable pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, and drug prescription status); without reprogramming or refill.

This code should not be reported in conjunction with codes for reprogramming or refilling the pump. If these services are performed at the same encounter, the appropriate codes should be reported separately.

Modifiers may be applicable to this code in certain circumstances. For example, modifier 52 may be used if the service is reduced or incomplete.

Medical necessity for this code is established when the patient's clinical condition requires monitoring of the implanted pump's function to ensure proper drug delivery and manage symptoms.

The provider (physician, physician assistant, nurse, or physical therapist) analyzes the performance of the implanted pump. This includes placing electrodes on the skin at the pump site, monitoring pump performance via computer, and evaluating the infusion rate, reservoir status, and alarm status. Reprogramming or refilling the pump is not included in this code.

In simple words: This procedure checks how an implanted medication pump is working. The doctor uses a computer to monitor the pump, checking how much medicine is left, if the alarms are working, and if medicine is being delivered at the right rate.The pump is not refilled or reprogrammed during this check.

This procedure involves the electronic analysis of a programmable, implanted pump used for intrathecal or epidural drug infusion. It includes the evaluation of reservoir status, alarm status, and drug prescription status, but does not involve reprogramming or refilling the pump.The provider places electrodes on the patient's skin at the pump site to monitor its performance.Data collected includes the infusion rate, residual volume, and alarm functionality.This service can be provided by a physician, physician assistant, nurse, or physical therapist.

Example 1: A patient with chronic pain managed by an intrathecal pain pump presents for routine pump analysis. The provider performs an electronic analysis to ensure proper pump function., A patient receiving chemotherapy via an epidural pump has their pump analyzed to check the infusion rate and remaining medication volume., A patient with spasticity has their intrathecal baclofen pump checked after experiencing increased symptoms. The electronic analysis helps to rule out pump malfunction.

Documentation should include the date of the service, the type of implanted pump, the location of the pump, the results of the electronic analysis (including infusion rate, residual volume, and alarm status), and any relevant clinical findings or patient symptoms.

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