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Revision of an intrathecal pump

J

jenandsan

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How would you code for a revision of an intrathecal pump? The pump had moved so that the reservoir was no longer accessible. The physician removed it from the pocket, tested it, and then placed it back in the pocket with adequate suturing to ensure that it stays in place.

I don't feel comfortable with using the removal and/or replacement codes as no implant will be billed. I think it should be an unspecified code (64999). What are your thoughts/experience?

Thank you.
 
I agree. I would not feel comfortable using the removal/replacement codes either. I would look to the unlisted code as you said as there are no codes to fit this description.
 
our provider did the same procedure. and we came up reporting the revision of pump with unlisted procedure code 64999. however, we are stuck at deciding the pricing for this unlisted code. Anyone can provide the comparable CPT code for pricing?
 
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