How To Use CPT Code 62369

CPT 62369 describes the electronic analysis, reprogramming, and refill of an implantable pump used 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 62369?

CPT 62369 is used to describe the electronic analysis, reprogramming, and refill of an implantable pump that delivers pain medications to patients through intrathecal or epidural routes. This code is used when a healthcare provider assesses the performance of the pump, reprograms it if necessary, and refills it with the appropriate medication.

2. Official Description

The official description of CPT code 62369 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 and refill.’

3. Procedure

1. The healthcare provider places electrodes at the site of the implanted pump to monitor its performance on a computer.
2. The provider analyzes the reservoir status, alarm status, and drug prescription status of the pump.
3. If necessary, the provider reprograms the pump to ensure it delivers the correct dosage and frequency of medication.
4. The provider refills the pump with the appropriate medication.
5. The provider may also perform any necessary adjustments or troubleshooting to ensure the pump functions properly.

4. Qualifying circumstances

CPT 62369 is used for patients who have an implanted pump for intrathecal or epidural drug infusion. These pumps are typically used to deliver pain medications to patients suffering from trauma or disease. The procedure can be performed by a physician, physician assistant, nurse, or physical therapist.

5. When to use CPT code 62369

CPT code 62369 should be used when a healthcare provider performs electronic analysis, reprogramming, and refill of an implantable pump for intrathecal or epidural drug infusion. It is important to ensure that the procedure meets the specific requirements outlined in the code description.

6. Documentation requirements

To support a claim for CPT 62369, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for electronic analysis, reprogramming, and refill of the pump
• Details of the analysis performed, including the evaluation of reservoir status, alarm status, and drug prescription status
• Date and duration of the procedure
• Specific adjustments or troubleshooting performed, if applicable
• Medication used for the refill
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 62369, ensure that the procedure meets the requirements outlined in the code description. It is important to accurately report the electronic analysis, reprogramming, and refill of the implantable pump. Consider any additional guidelines provided by payers or coding authorities to ensure proper reimbursement.

8. Historical information

CPT 62369 was added to the Current Procedural Terminology system on January 1, 2012. There have been no updates to the code since its addition.

9. Examples

1. A physician analyzing the performance of an implantable pump for intrathecal drug infusion, reprogramming it to adjust the dosage, and refilling it with the appropriate medication.
2. A nurse assessing the alarm status and drug prescription status of an implanted pump for epidural drug infusion, reprogramming it to ensure proper delivery, and refilling it with the necessary medication.
3. A physician assistant evaluating the reservoir status and alarm status of an implantable pump for intrathecal drug infusion, reprogramming it to optimize the drug delivery, and refilling it with the prescribed medication.
4. A physical therapist analyzing the performance of an implanted pump for epidural drug infusion, reprogramming it to meet the patient’s changing needs, and refilling it with the appropriate medication.
5. A nurse monitoring the reservoir status and drug prescription status of an implantable pump for intrathecal drug infusion, reprogramming it to ensure accurate dosage, and refilling it with the necessary medication.
6. A physician assessing the alarm status and drug prescription status of an implanted pump for epidural drug infusion, reprogramming it to optimize pain management, and refilling it with the prescribed medication.
7. A nurse practitioner analyzing the performance of an implantable pump for intrathecal drug infusion, reprogramming it to meet the patient’s changing needs, and refilling it with the appropriate medication.
8. A physical therapist evaluating the reservoir status and alarm status of an implanted pump for epidural drug infusion, reprogramming it to ensure proper delivery, and refilling it with the necessary medication.
9. A physician assistant monitoring the reservoir status and drug prescription status of an implantable pump for intrathecal drug infusion, reprogramming it to optimize pain management, and refilling it with the prescribed medication.
10. A nurse assessing the alarm status and drug prescription status of an implanted pump for epidural drug infusion, reprogramming it to meet the patient’s changing needs, and refilling it with the appropriate medication.