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The CPT® Code 36262 refers to the procedure for the removal of an implanted intra-arterial infusion pump. This type of pump is a medical device that is surgically placed under the skin and is designed to deliver medication directly into the bloodstream, specifically for intra-arterial infusion. These pumps are often utilized in the treatment of conditions such as metastatic liver cancer, where targeted chemotherapy is necessary. The procedure involves a series of surgical steps that include accessing the subcutaneous pocket where the pump is located, disconnecting it from the catheter, and subsequently removing both the pump and the catheter from the body. The removal process is critical to ensure that any malfunctioning or unnecessary devices are safely extracted, thereby preventing potential complications or infections. The procedure is performed under sterile conditions and requires careful attention to the anatomical structures involved, particularly the vascular system, to ensure a successful outcome and minimize risks to the patient.
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The procedure associated with CPT® Code 36262 is indicated for patients who have an implanted intra-arterial infusion pump that requires removal. This may be due to various reasons, including:
The procedure for the removal of the implanted intra-arterial infusion pump involves several critical steps:
Following the removal of the intra-arterial infusion pump, patients may require monitoring for any signs of complications, such as infection or bleeding at the incision sites. Pain management may be necessary, and patients are typically advised on wound care to ensure proper healing. Follow-up appointments may be scheduled to assess recovery and address any concerns that may arise post-procedure. It is important for patients to report any unusual symptoms, such as increased pain, redness, or discharge from the incision sites, to their healthcare provider promptly.
| Short Descr | REMOVAL OF INFUSION PUMP | Medium Descr | REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP | Long Descr | Removal 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) | 1 - Statutory payment restriction for assistants at surgery applies 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 | T-Packaged Codes | 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). | 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.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study |
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| Pre-1990 | Added | Code added. |
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