Here are the codes that are used for the pump inserts 64416 – brachial plexus 64446 – sciatic nerve 64448 – femoral nerve 64449 – lumbar plexus 76942 – ultrasound guided (different revenue code) (no separate payment, it is included in codes above
on q pain pump insertion Here are the codes that are used for the pump inserts 64416 – brachial plexus 64446 – sciatic nerve
Insulin pump malposition; Malposition of insulin pump ICD-10-CM Diagnosis Code M79.676 [convert to ICD-9-CM] Pain in unspecified toe (s) Pain in toe; Toe pain
For example, if we place an On-Q with an inguinal hernia repair we would bill 49999 for the pain pump. Most insurance companies will pend the claim for review. It took an average of 45 days to get the claim paid. Cigna has advised us that 11981 is more appropriate than an unlisted code. Needless to say we are billing 11981 to Cigna.
Surgical technique. If the patient is thin, then the pump may be placed at the rectus fascia. The incision for the pump pocket should be made just large enough to accommodate the pump. After creating the pump pocket, tunneling from the pump pocket to the back wound should be done with the tunneling device.
Encounter for adjustment and management of infusion pump The 2022 edition of ICD-10-CM Z45. 1 became effective on October 1, 2021. This is the American ICD-10-CM version of Z45.
62360 Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir.
CPT code 95991 is reported for the pump refill provided by the physician.
*CPT® codes 62322, 62323, 62326 and 62327 should be reported when performing trial infusions prior to permanent pump implantation.
If we have a PA who is reprogramming and refilling pain pump, AND they are billing under their own NPI, we would use 62370. However, if the same PA reprograms and refills pain pump and bills under physician NPI, then they would be acting as clinical staff and bill 62369.
62361 (Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump).
96416 is not an initial code.
CPT® Code 62370 in section: Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status)
CPT® Code 62362 in section: Implantation or replacement of device for intrathecal or epidural drug infusion.
A pump trial involves placing a catheter within the epidural space and then connecting it to an external pump. This is NOT a surgery. No incisions are made during the trial. The catheter is placed using a small needle. During the trial, the pain medication will be adjusted to reach the desired comfort level.
89.29 or the diagnosis term “chronic pain syndrome” to utilize ICD-10 code G89. 4.
Injection CPT Code OptionsCPT CodeDescription66020Injection, anterior chamber of eye (separate procedure); air or liquid66030Injection, anterior chamber of eye (separate procedure); medication67028Intravitreal injection of a pharmacologic agent (separate procedure)67345Chemodenervation of extraocular muscle7 more rows