How To Use CPT Code 62370

CPT 62370 describes the electronic analysis, reprogramming, and refill 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 62370?

CPT 62370 can be used to describe the electronic analysis, reprogramming, and refill of a programmable, implanted pump for intrathecal or epidural drug infusion. This code is used when a physician or other qualified healthcare professional assesses the performance of the pump, reprograms it if necessary, and refills it with the appropriate medication. The pump is typically used to deliver pain medications to patients suffering from trauma or disease.

2. Official Description

The official description of CPT code 62370 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 (requiring skill of a physician or other qualified health care professional)’

3. Procedure

1. The physician or qualified healthcare professional places electrodes at the site of the implanted pump to monitor its performance on a computer.
2. They analyze the reservoir status, alarm status, and drug prescription status of the pump.
3. If necessary, they reprogram the pump to ensure it is delivering the correct dosage of medication.
4. They refill the pump with the appropriate medication.

4. Qualifying circumstances

CPT 62370 is used when a physician or other qualified healthcare professional performs the electronic analysis, reprogramming, and refill of a programmable, implanted pump for intrathecal or epidural drug infusion. The patient must have an implanted pump for the delivery of pain medications, and the procedure must require the skill of a physician or other qualified healthcare professional.

5. When to use CPT code 62370

CPT code 62370 should be used when a physician or other qualified healthcare professional performs the electronic analysis, reprogramming, and refill of a programmable, implanted pump for intrathecal or epidural drug infusion. This code should not be reported in conjunction with CPT codes 95990 and 95991, which are used for refilling and maintenance of a reservoir or an implantable infusion pump without reprogramming.

6. Documentation requirements

To support a claim for CPT 62370, the physician or qualified healthcare professional must document the following information:

• Details of the electronic analysis performed, including the evaluation of reservoir status, alarm status, and drug prescription status
• Details of the reprogramming performed, if necessary
• Details of the refill, including the medication used
• Date and time of the procedure
• Signature of the physician or qualified healthcare professional performing the service

7. Billing guidelines

When billing for CPT 62370, ensure that the service is performed by a physician or other qualified healthcare professional. There are no specific guidelines regarding reporting CPT 62370 with other codes. However, it should not be reported in conjunction with CPT codes 95990 and 95991, which are used for refilling and maintenance of a reservoir or an implantable infusion pump without reprogramming.

8. Historical information

CPT 62370 was added to the Current Procedural Terminology system on January 1, 2012. On January 1, 2013, the code description was updated to include the requirement of the physician’s skill.

9. Examples

1. A physician analyzing the performance of an implanted pump for intrathecal drug infusion, reprogramming it, and refilling it with pain medication.
2. A qualified healthcare professional assessing the status of an implanted pump for epidural drug infusion, reprogramming it to deliver a different dosage, and refilling it with the appropriate medication.
3. A physician evaluating the alarm status of an implanted pump for intrathecal drug infusion, reprogramming it to address the alarm, and refilling it with the necessary medication.
4. A qualified healthcare professional analyzing the drug prescription status of an implanted pump for epidural drug infusion, reprogramming it to adjust the medication dosage, and refilling it with the prescribed drug.
5. A physician assessing the reservoir status of an implanted pump for intrathecal drug infusion, reprogramming it to ensure proper functioning, and refilling it with the required pain medication.
6. A qualified healthcare professional analyzing the performance of an implanted pump for epidural drug infusion, reprogramming it to address any issues, and refilling it with the appropriate medication.
7. A physician evaluating the alarm status of an implanted pump for intrathecal drug infusion, reprogramming it to resolve the alarm, and refilling it with the necessary medication.
8. A qualified healthcare professional assessing the drug prescription status of an implanted pump for epidural drug infusion, reprogramming it to adjust the medication dosage, and refilling it with the prescribed drug.
9. A physician analyzing the reservoir status of an implanted pump for intrathecal drug infusion, reprogramming it to ensure proper functioning, and refilling it with the required pain medication.
10. A qualified healthcare professional assessing the performance of an implanted pump for epidural drug infusion, reprogramming it to address any issues, and refilling it with the appropriate medication.