How To Use CPT Code 62368

CPT 62368 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 62368?

CPT 62368 is used to describe the electronic analysis of a programmable, implanted pump for intrathecal or epidural drug infusion. This code is specifically for the evaluation of the reservoir status, alarm status, and drug prescription status of the pump. It does not involve refilling the pump. Intrathecal or epidural pumps are commonly used to deliver pain medications or chemotherapy to patients with trauma or disease.

2. Official Description

The official description of CPT code 62368 is: ‘Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming.’

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 evaluates the infusion rate, residual volume, and alarm status of the pump.
3. The provider does not reprogram the pump during this service.
4. If necessary, the provider may reprogram the infusion rate to increase the rate of infusion for a patient experiencing increased pain.

4. Qualifying circumstances

CPT 62368 is performed when a patient has an implanted pump for intrathecal or epidural drug infusion. The analysis is done to evaluate the reservoir status, alarm status, and drug prescription status of the pump. This procedure is typically performed by a physician, physician assistant, nurse, or physical therapist.

5. When to use CPT code 62368

CPT code 62368 should be used when the provider performs an electronic analysis of a programmable, implanted pump for intrathecal or epidural drug infusion. This code should not be used for refilling or maintenance of the pump, as those services have separate codes (95990-95991).

6. Documentation requirements

To support a claim for CPT 62368, the provider must document the following information:

• Details of the electronic analysis performed, including evaluation of reservoir status, alarm status, and drug prescription status
• Date and duration of the analysis
• Any reprogramming of the infusion rate, if applicable
• Signature of the provider performing the analysis

7. Billing guidelines

When billing for CPT 62368, ensure that the analysis is performed on a programmable, implanted pump for intrathecal or epidural drug infusion. This code should not be reported if the pump is being refilled or maintained. It is important to follow the specific guidelines and instructions provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 62368 was added to the Current Procedural Terminology system on January 1, 1996. There have been no updates or changes to the code since its addition.

9. Examples

1. A physician performing an electronic analysis of an implanted pump for intrathecal drug infusion to evaluate its reservoir status, alarm status, and drug prescription status.
2. A nurse conducting an electronic analysis of an implanted pump for epidural drug infusion to assess its performance and alarm status.
3. A physical therapist evaluating the reservoir status and drug prescription status of an implanted pump for intrathecal drug infusion during an electronic analysis.
4. A physician assistant performing an electronic analysis of an implanted pump for epidural drug infusion to determine its infusion rate and alarm status.
5. A nurse conducting an electronic analysis of an implanted pump for intrathecal drug infusion to evaluate its performance and residual volume.
6. A physician evaluating the alarm status and drug prescription status of an implanted pump for epidural drug infusion during an electronic analysis.
7. A physical therapist performing an electronic analysis of an implanted pump for intrathecal drug infusion to assess its reservoir status and alarm status.
8. A nurse conducting an electronic analysis of an implanted pump for epidural drug infusion to evaluate its performance and drug prescription status.
9. A physician assistant evaluating the reservoir status and alarm status of an implanted pump for intrathecal drug infusion during an electronic analysis.
10. A nurse performing an electronic analysis of an implanted pump for epidural drug infusion to assess its infusion rate and residual volume.