2025 CPT code 62370

Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill (requiring physician's skill).

Refer to CPT guidelines for proper coding and billing. Use appropriate modifiers as needed. Ensure documentation supports the medical necessity of the procedure.

Modifiers may be applicable. See the provided list of modifiers for details.

Medical necessity must be supported by documentation of the patient's underlying condition, the need for an implanted pump for drug delivery, and the rationale for reprogramming and refill.

The physician or other qualified healthcare professional places electrodes at the site of the implanted pump to monitor its performance. They analyze the data, reprogram the pump as needed, and refill the pump with the appropriate medication. This requires specialized training and skill.

IMPORTANT For refilling and maintenance of a reservoir or an implantable infusion pump for spinal or brain drug delivery *without reprogramming*, see 95990, 95991.

In simple words: The doctor analyzes the function of an implanted pump, reprograms it, and refills it with medication. These pumps, placed near the spinal cord, deliver pain medication for those suffering from injuries or illnesses.

Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill (requiring skill of a physician or other qualified health care professional).Do not report 62370 in conjunction with 95990, 95991. For refilling and maintenance of a reservoir or an implantable infusion pump for spinal or brain drug delivery without reprogramming, see 95990, 95991.

Example 1: A patient with chronic back pain managed by an intrathecal pain pump presents for their regularly scheduled refill and pump reprogramming. The physician analyzes the pump's performance, adjusts the dosage settings based on the patient's current needs, and refills the pump reservoir., A patient with a spasticity disorder experiences a change in symptoms. The physician analyzes the intrathecal baclofen pump's performance and reprograms the device to adjust medication delivery to address the change in the patient’s needs and improve their quality of life., A patient with an implanted epidural pain pump experiences an alarm. The physician analyzes the pump's performance to identify the cause of the alarm, troubleshoots any issues, and refills the pump if necessary. 

Documentation should include details of the electronic analysis, including reservoir status, alarm status, drug prescription details, reprogramming parameters, type and amount of medication used for refill, and any complications encountered.

  • Revenue Code: P6C - MINOR PROCEDURES - OTHER (MEDICARE FEE SCHEDULE)
  • Payment Status: Active
  • Specialties:Pain Management, Neurosurgery, Anesthesiology
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center
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