icd-10 code for intrathecal pain pump refill

by Dr. Cristopher Leuschke DDS 5 min read

Encounter for adjustment and management of infusion pump 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt Z45.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z45.1 became effective on October 1, 2021.

As defined, code 62370 is used when the pump is interrogated, reprogrammed, and refilled by a physician or “other qualified health care professional”.Nov 16, 2016

Full Answer

What is the CPT code for pump refill?

Feb 12, 2017 · What is the appropriate primary diagnosis code to use for pain pump refills? Z45.1, G89.29, or Z79.891? Menu. Home. Forums. New posts Search forums. Wiki Posts. All Wiki Posts Recent Wiki Posts. ... ICD-10 for pain pump refills. Thread starter dhelgeson; Start date Feb 13, 2017; D. dhelgeson New. Messages 2 Location Bismarck, ND Best answers 0 ...

What is the ICD 10 code for infusion pump adjustment?

Apr 04, 2022 · AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor Intrathecal Pump Refill. During an inpatient stay, the patient has her intrathecal pump refilled with medication due to pump depletion. A needle was used to access the central reservoir and fill it with medication. The pump was reprogrammed for daily infusion.

What pain meds are FDA approved for intrathecal pump?

Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code Z45.1 Encounter for adjustment and management of infusion pump 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt Z45.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z45.1 became effective on October …

What is the CPT code for implantable pump?

Feb 23, 2021 · Coding for guidance with Intrathecal pain pump refill. Date: Feb 23, 2021. ... Pain Management; ICD-10 Coding; About Us; Our Team; Company News; Industry Partners; Testimonials; FAQs; Contact ZHealth ZHealth Publishing, LLC 330 Franklin Road, Suite 135A, #232 Brentwood, TN 37027 Phone: 877-873-9893

What is the ICD 10 code for intrathecal pain pump?

T85. 840D is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM T85. 840D became effective on October 1, 2021.

What is the CPT code for intrathecal pump?

62360 Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir.

What is intrathecal pump refill?

2:483:54Intrathecal Pump Refill - YouTubeYouTubeStart of suggested clipEnd of suggested clipThe pump is reprogrammed to reflect the new quantity of medicine. And any changes made to the dosageMoreThe pump is reprogrammed to reflect the new quantity of medicine. And any changes made to the dosage.

What is the difference between 62369 and 62370?

Electronic analysis CPT code 62367, 62368, 62369, 62370 Use CPT code 62369 if it is reprogrammed and refilled and 62370 if it is reprogrammed refilled and requires a physician or other qualified health care professional's intervention.Nov 29, 2019

What is the CPT code for pain pump insertion?

There are no CPT or HCPCS codes that describe placement of a pain pump catheter. For example, code 37202 is a cardiac procedure, not a pain pump insertion into a muscle or site.Jun 1, 2008

What is procedure code 62322?

CPT® 62322, Under Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord. The Current Procedural Terminology (CPT®) code 62322 as maintained by American Medical Association, is a medical procedural code under the range - Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord.

What is intrathecal pain pump?

Intrathecal drug delivery, also known as the "pain pump," uses a small pump to deliver pain medication directly to your spinal cord. The pump is surgically placed under the abdominal skin and delivers pain medication through a catheter to the area around your spinal cord.

How does a pain pump get refilled?

When the reservoir is empty, the doctor or nurse refills the pump by inserting a needle through your skin and into the fill port on top of the reservoir. This therapy is completely reversible if you should ever decide to have the pump removed.

What is a pain pump called?

A pain pump, also known as an intrathecal pump implant, offer patients medication directly at the source of pain.Mar 25, 2019

What is CPT code for infusion pump?

CPT code 96521 (for a portable pump) or 96522 (for an implantable pump) should be reported when the patient must come into the office to have the pump or pump cassette refilled.

Does CPT code 62370 include fluoroscopy?

For certain procedures, fluoroscopy is considered inclusive of the procedure (eg, 22526, 22527, 62263, 62264, 62267, 62270-62282, 62310-62319) and not separately reportable.Jun 1, 2019

What CPT code did 62321 replace?

substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance CPT® adds 62320 and 62321 ( … with imaging guidance [i.e., fluoroscopy or CT]) ...

Coding for guidance with Intrathecal pain pump refill

If a physician performs the reprogramming and refill of an implanted pump (62370) under ultrasound or fluoroscopy guidance (used to locate the reservoir fill port on the implantable pump), are we able to separately report the guidance? If the guidance can be separately reported, which code would be appropriate for ultrasound guidance (76942)? Or for fluoroscopy guidance (77002)?.

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What is an intrathecal pump?

An intrathecal pump is a medical device used to deliver medications directly into the space between the spinal cord and the protective sheath surrounding the spinal cord.

What is the tube that is inserted into the spinal fluid?

An intrathecal catheter is a tube that is inserted into the spinal fluid and the other end is buried under the skin and comes out to allow drugs to be given through the catheter.

Document Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for implantable infusion pump. Federal statute and subsequent Medicare regulations regarding provision and payment for medical services are lengthy.

Coverage Guidance

Compliance with the provisions in this policy may be monitored and addressed through post payment data analysis and subsequent medical review audits.