How To Use CPT Code 62367

CPT 62367 describes the electronic analysis of a programmable, implanted pump for intrathecal or epidural drug infusion. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 62367?

CPT 62367 can be used to describe the electronic analysis of a programmable, implanted pump for intrathecal or epidural drug infusion. This code is used when the provider assesses the performance of the pump without reprogramming or refilling it. The analysis includes evaluating the reservoir status, alarm status, and drug prescription status.

2. Official Description

The official description of CPT code 62367 is: ‘Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming or refill.’

3. Procedure

1. The provider places electrodes on the skin at the site of the implanted pump to monitor its performance on a computer.
2. The electronic analysis shows the infusion rate, residual volume, and alarm status of the pump.
3. The provider does not reprogram or refill the pump during this service.

4. Qualifying circumstances

Patients eligible to receive CPT 62367 services are those with a programmable, implanted pump for intrathecal or epidural drug infusion. This procedure is commonly used to deliver pain medications or chemotherapy to patients suffering from trauma or disease. The provider performing the analysis can be a physician, physician assistant, nurse, or physical therapist.

5. When to use CPT code 62367

CPT code 62367 should be used when the provider performs an electronic analysis of a programmable, implanted pump for intrathecal or epidural drug infusion without reprogramming or refilling the pump. This code should not be used if the provider also performs reprogramming or refill procedures.

6. Documentation requirements

To support a claim for CPT 62367, the provider must document the following information:

• Patient’s diagnosis and the need for electronic analysis of the pump
• Date and duration of the analysis
• Results of the analysis, including the reservoir status, alarm status, and drug prescription status
• Signature of the provider performing the analysis

7. Billing guidelines

When billing for CPT 62367, ensure that the provider performs only the electronic analysis of the pump without reprogramming or refilling it. This code should not be reported if reprogramming or refill procedures are also performed. Consider the location of the testing when coding these services. Additional tips for reporting CPT 62367 can be found in the official coding guidelines.

8. Historical information

CPT 62367 was added to the Current Procedural Terminology system on January 1, 1996. There have been no updates to the code since its addition.

9. Examples

1. A physician assistant performs an electronic analysis of an implanted pump for intrathecal drug infusion to evaluate the reservoir status, alarm status, and drug prescription status.
2. A nurse analyzes the performance of an implanted pump for epidural drug infusion, assessing the reservoir status, alarm status, and drug prescription status.
3. A physical therapist evaluates the electronic performance of an implanted pump for intrathecal drug infusion, checking the reservoir status, alarm status, and drug prescription status.
4. A physician assesses the electronic functioning of an implanted pump for epidural drug infusion, examining the reservoir status, alarm status, and drug prescription status.
5. A nurse practitioner analyzes the performance of an implanted pump for intrathecal drug infusion, evaluating the reservoir status, alarm status, and drug prescription status.
6. A physician assistant evaluates the electronic functioning of an implanted pump for epidural drug infusion, checking the reservoir status, alarm status, and drug prescription status.
7. A nurse assesses the performance of an implanted pump for intrathecal drug infusion, examining the reservoir status, alarm status, and drug prescription status.
8. A physical therapist analyzes the electronic functioning of an implanted pump for epidural drug infusion, evaluating the reservoir status, alarm status, and drug prescription status.
9. A physician evaluates the performance of an implanted pump for intrathecal drug infusion, checking the reservoir status, alarm status, and drug prescription status.
10. A nurse practitioner assesses the electronic functioning of an implanted pump for epidural drug infusion, examining the reservoir status, alarm status, and drug prescription status.