icd 9 code for presence intrathecal pump

Full Answer

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 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 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 ICD 10 code for implant presence?

Presence of functional implant, unspecified 1 Z96.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z96.9 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z96.9 - other international versions of ICD-10 Z96.9 may differ.

What is the ICD 10 code for presence of intrathecal pump?

Encounter for adjustment and management of infusion pump 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.

What is the ICD 10 code for presence of JP drain?

Z48. 0 - Encounter for Attention to Dressings, Sutures and Drains [Internet]. In: ICD-10-CM.

What is the ICD 10 code for presence of spinal cord stimulator?

Z96. 82 - Presence of neurostimulator | ICD-10-CM.

What is the ICD 10 code for presence of surgical clips?

Presence of other specified functional implants The 2022 edition of ICD-10-CM Z96. 89 became effective on October 1, 2021.

What is the ICD-10 code for presence of Foley catheter?

In ICD-10-CM, “urethral” is qualified in code T83. 511A for indwelling catheter.

What is the ICD-10 code for presence of feeding tube?

Z93.1ICD-10-CM Code for Gastrostomy status Z93. 1.

Is a spinal cord stimulator the same as a neurostimulator?

A spinal cord stimulation system consists of two implanted components: Neurostimulator — Rechargeable or non-rechargeable implanted power source that generates electrical pulses according to programmable neurostimulation parameters and features.

What is a neurostimulator implant?

What Is a Neurostimulator? Chronic Pain. An implantable neurostimulator is a surgically placed device about the size of a stopwatch. It delivers mild electrical signals to the epidural space near your spine through one or more thin wires, called leads.

What is the CPT code for spinal cord stimulator trial?

CPT code 63650 is not altered when the implantation of the percutaneous epidural neurostimulator electrode is performed for the purpose of a "temporary" trial or for "permanent" neurostimulation.

What is the ICD-10 code for presence of internal fixation?

Presence of other bone and tendon implants The 2022 edition of ICD-10-CM Z96. 7 became effective on October 1, 2021.

What diagnosis is G47 33?

Its corresponding ICD-9 code is 327.23. Code G47. 33 is the diagnosis code used for Obstructive Sleep Apnea. It is a sleep disorder characterized by pauses in breathing or instances of shallow breathing during sleep.

What is disruption of external operation?

ICD-10 code T81. 31 for Disruption of external operation (surgical) wound, not elsewhere classified is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

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.

Indications and Usage

Lioresal ® Intrathecal (baclofen injection) is a muscle relaxant and antispastic that is indicated for use in the management of severe spasticity of cerebral or spinal origin.

Select Warnings and Precautions

It is mandatory that all patients, caregivers, and treating physicians receive adequate information regarding the risks of the mode of treatment.

Adverse Reactions

The most frequent drug adverse events vary by indication but include: hypotonia (34.7%), somnolence (20.9%), headache (10.7%), convulsion (10.0%), dizziness (8.0%), urinary retention (8.0%), nausea (7.3%), and paresthesia (6.7%). Dosing and programming errors may result in clinically significant overdose or withdrawal.

Use in Specific Populations

There are no adequate and well controlled studies in pregnant women. Lioresal ® Intrathecal should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.