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The CPT® Code 36261 refers to the revision of an implanted intra-arterial infusion pump, which is a medical device designed for the controlled delivery of medication directly into the bloodstream. This procedure involves the management of a subcutaneously placed, totally implantable intra-arterial infusion pump, which is primarily utilized in the treatment of conditions such as metastatic liver cancer. The infusion pump allows for the administration of chemotherapy directly to the liver, enhancing the effectiveness of the treatment while minimizing systemic exposure to the drug. The revision process entails accessing the subcutaneous pocket where the pump is located, evaluating the pump and catheter for any malfunctions, and making necessary replacements or adjustments to ensure optimal functionality. This procedure is critical for maintaining the efficacy of the treatment regimen and ensuring patient safety, as it addresses any issues that may arise with the implanted device over time.
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The revision of an implanted intra-arterial infusion pump, as described by CPT® Code 36261, is indicated for patients who have an existing intra-arterial infusion pump that requires modification or repair. This may be necessary due to various reasons, including:
The procedure for revising an implanted intra-arterial infusion pump involves several critical steps to ensure the device is functioning correctly and safely. The following outlines the procedural steps:
Following the revision of the implanted intra-arterial infusion pump, patients are typically monitored for any immediate complications, such as infection or bleeding. It is essential to provide post-procedure care instructions, which may include keeping the incision site clean and dry, monitoring for signs of infection, and scheduling follow-up appointments to assess the function of the pump. Patients may also need to return for regular refills of the chemotherapy agent or heparinized saline, depending on their treatment plan. Overall, the post-procedure phase is critical for ensuring the long-term success of the infusion pump and the effectiveness of the chemotherapy treatment.
| Short Descr | REVISION OF INFUSION PUMP | Medium Descr | REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP | Long Descr | Revision of implanted intra-arterial infusion pump | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P2F - Major procedure, cardiovascular-Other | MUE | 1 | CCS Clinical Classification | 61 - Other OR procedures on vessels other than head and neck |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) |
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| Pre-1990 | Added | Code added. |
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