© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 62361 refers to the implantation or replacement of a device specifically designed for intrathecal or epidural drug infusion, utilizing a nonprogrammable pump. This procedure is typically indicated for patients requiring long-term administration of medication directly into the spinal canal or epidural space, which can be essential for managing chronic pain or other conditions that necessitate precise drug delivery. The process begins with an incision in the skin, usually located on the lateral aspect of the lower abdomen, where a subcutaneous pocket is created to house the pump. The pump is then connected to a catheter that delivers medication to the targeted area. After the device is securely placed in the pocket, the skin is closed over it, ensuring that the device is protected and properly positioned. In cases where a replacement is necessary, the old device must be removed as a separate procedure before the new nonprogrammable pump is inserted. It is important to note that this code is distinct from others related to similar procedures, such as the placement of a subcutaneous reservoir or a programmable pump, which have their own specific codes and requirements.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 62361 is indicated for patients who require the administration of medication directly into the intrathecal or epidural space for various therapeutic purposes. The following conditions may warrant this procedure:
The procedure for the implantation or replacement of a nonprogrammable pump involves several critical steps, which are detailed as follows:
Post-procedure care for patients who have undergone the implantation or replacement of a nonprogrammable pump includes monitoring for any signs of infection at the incision site, ensuring that the device is functioning correctly, and managing any immediate postoperative pain. Patients may be advised on activity restrictions to promote healing and prevent complications. Follow-up appointments are typically scheduled to assess the effectiveness of the medication delivery and to make any necessary adjustments to the treatment plan.
| Short Descr | IMPLANT SPINE INFUSION PUMP | Medium Descr | IMPLTJ/RPLCMT FS NON-PRGRBL PUMP | Long Descr | Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump | 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). | 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) 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. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 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.) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2008-01-01 | Changed | Code description changed. |
| 1996-01-01 | Added | First appearance in code book in 1996. |
Get instant expert-level medical coding assistance.