icd-10 code for intrathecal pain pump status

Full Answer

What is the ICD 10 code for intrathecal infusion pump?

This is the American ICD-10-CM version of T85.695 - other international versions of ICD-10 T85.695 may differ. Applicable To. Other mechanical complication of intrathecal infusion pump. The following code (s) above T85.695 contain annotation back-references. Annotation Back-References.

What is an intrathecal pump system?

The intrathecal pump system consists of a pump/reservoir implanted between the muscle and skin of your abdomen and a catheter that carries pain medication from the pump to the spinal cord and nerves. The pump is programmed to slowly release medication over a period of time.

What is the C code for removal of previously implanted intrathecal catheter?

CPT 62355: Removal of previously implanted intrathecal or epidural catheter. (10 days Global) Note: Medicare provides C-codes for hospital use in billing Medicare for medical devices in the outpatient setting. Although other payers may also accept C-codes, regular HCPCS II device codes are generally used for billing non-Medicare payers.

What is the CPT code for implantable pump?

CPT 95990: Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump when performed.

What is the CPT code for intrathecal pump?

62362 (Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming).

Is intrathecal pump an infusion pump?

The intrathecal programmable pump is an implanted medical device which is used to deliver medication directly into the spinal fluid. The system consists of an infusion pump, a spinal catheter, and an external programmer.

How do you bill a pain pump refill?

CPT code 95991 is reported for the pump refill provided by the physician.

What is a intrathecal pump used for?

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.

Is an epidural intrathecal?

An intrathecal is a type of spinal anesthetic. A single dose of local anesthetic (numbing medication) is given through a needle placed into the lower back. Unlike an epidural, an intrathecal is a single dose of medication and isn't repeated.

Who qualifies for a pain pump?

A pump is recommended for people with: Cancer – pain starts from cancer spreading to the bones or from nerve damage and scar formation after surgeries that remove tumors. Failed back surgery syndrome (FBSS) – long-lasting pain after one or more surgeries that failed to control your back pain or shooting leg pain.

What is procedure code 62370?

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)

Are pain pumps covered by insurance?

covers infusion pumps (and some medicines used in infusion pumps) if considered reasonable and necessary. These are covered as durable medical equipment (DME) that your doctor prescribes for use in your home.

How much does an intrathecal pump cost?

How Much Does an Insertion of Intrathecal/Epidural Catheter and Drug Infusion Pump Cost? On MDsave, the cost of an Insertion of Intrathecal/Epidural Catheter and Drug Infusion Pump ranges from $28,766 to $31,186.

Is intrathecal the same as spinal?

Also known as the subarachnoid space, the intrathecal space is the fluid-filled area located between the innermost layer of covering (the pia mater) of the spinal cord and the middle layer of covering (the arachnoid mater).

What is intrathecal therapy?

(IN-truh-THEE-kul KEE-moh-THAYR-uh-pee) Treatment in which anticancer drugs are injected into the fluid-filled space between the thin layers of tissue that cover the brain and spinal cord.

What is intrathecal medication?

• Intrathecal drug administration is the introduction of a therapeutic substance into the cerebrospinal fluid by injection into the subarachnoid space of the spinal cord to bypass the blood-brain barrier. • The main indications are for anesthesia and pain management.

ICD-10-CM: Rest Easy This Year

As of now, there don’t appear to be any major changes to ICD-10-CM pain management codes, but that doesn’t mean you won’t need to prepare. Remember that there could be changes at any time—even after the Oct. 1, 2018 implementation deadline. And there’s always room to improve your knowledge of existing diagnosis coding best practices.

Safeguard Your Practice with Boot Camp Training

Given the busy nature of your practice, the increased scrutiny when it comes to pain management, and the changes to codes and the PFS, you have a lot ahead of you in the coming year. Don’t go it alone.

Where is the intrathecal pump located?

The intrathecal pump system consists of a pump/reservoir implanted between the muscle and skin of your abdomen and a catheter that carries pain medication from the pump to the spinal cord and nerves. The pump is programmed to slowly release medication over a period of time.

What is CPT 95990?

CPT 95990: Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump when performed.

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.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

An implanted infusion pump for chronic pain is covered by Medicare when used to 1) administer opioid drugs, singly or in combination with other opioid or non-opioid drugs, 2) intrathecal or epidural route; 3) for treatment of severe chronic intractable pain of malignant or nonmalignant origin in patients who have a life expectancy of at least three (3) months, and 4) the pain has been proven to be unresponsive to less invasive medical therapy. In order to be considered medically reasonable and necessary, all of the following criteria must be met and clearly documented in the beneficiary’s medical record:.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.