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The CPT® Code 62360 refers to the procedure of implantation or replacement of a device specifically designed for intrathecal or epidural drug infusion, which includes a subcutaneous reservoir. This procedure is typically performed to facilitate the delivery of medication directly into the spinal canal or epidural space, allowing for effective pain management or treatment of various medical conditions. During the initial implantation, a surgical incision is made, usually on the lateral aspect of the lower abdomen, where a subcutaneous pocket is created to house the reservoir or pump. The device is then connected to a catheter that leads to the intrathecal or epidural space, and the incision is closed over the device to secure it in place. In cases where a replacement is necessary, the old device must be removed as a separate procedure before the new device can be implanted. It is important to note that there are specific codes for different types of devices: CPT® Code 62361 is used for the placement of a nonprogrammable pump, while CPT® Code 62362 is designated for a programmable pump. The implantation of a programmable pump involves additional steps, such as preparing the pump, checking the reservoir and alarm status, and programming the dosing and infusion parameters to ensure proper functionality post-implantation.
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The procedure described by CPT® Code 62360 is indicated for patients requiring intrathecal or epidural drug infusion therapy. This may include individuals suffering from chronic pain conditions, spasticity, or other medical conditions that necessitate targeted drug delivery to achieve effective symptom management. The implantation of a subcutaneous reservoir or pump allows for continuous or bolus administration of medications, improving patient comfort and treatment efficacy.
The procedure for implantation or replacement of a subcutaneous reservoir or pump involves several key steps that ensure proper placement and functionality of the device.
After the implantation of the subcutaneous reservoir or pump, patients are typically monitored for any immediate complications, such as infection or device malfunction. Post-procedure care may include instructions on wound care, signs of infection to watch for, and follow-up appointments to assess the device's function. Patients may also receive guidance on how to manage their medication delivery and any adjustments that may be necessary for optimal pain control. It is important for healthcare providers to ensure that the patient understands the operation of the device, especially if it is programmable, as this will impact the effectiveness of their treatment.
| Short Descr | INSERT SPINE INFUSION DEVICE | Medium Descr | IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR | Long Descr | Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir | Status Code | Active Code | Global Days | 010 - Minor Procedure | 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) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 9 - Other OR therapeutic nervous system procedures |
| 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). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 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. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | FB | Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples) | GC | This service has been performed in part by a resident under the direction of a teaching physician | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 1996-01-01 | Added | First appearance in code book in 1996. |
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