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Thread: Pain pump refill

  1. #1
    Join Date
    Apr 2007

    Default Pain pump refill

    AAPC: Back to School
    When coding pain pump refills for the office setting do you assign the 95991 plus the J code for the medication?


  2. #2
    Join Date
    Apr 2007
    North Carolina


    95990 is for non-physicians refilling the pump
    95991 is for physician refill of the pump

    You would charge for the appropriate J code

    Also, don't forget the reprogramming of the pump, by the physician, (62368) when performed at the same session.

  3. #3
    Join Date
    Apr 2007
    Kokomo, IN

    Default pain pump refills

    Also, if nonmedicare, don't forget the pain pump kit A4220.

  4. #4
    Join Date
    Apr 2007

    Default RE:

    Thanks all for your answers.


  5. #5
    Join Date
    Apr 2007
    Louisville, KY

    Default Related question

    Can you describe what constitutes pump "reprogramming"? I'm struggling to find any examples or descriptors.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

  6. #6
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    After the electrodes are placed and the performance of the pump is reviewed, the physician may reprogram the pump to deliver a different amount of the drug, reset the alarm status, etc. There are a lot of variables they can reset on these pumps. The doctors know who do the pump refills print out the analysis and document any changes they've made on that, date and sign it.
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

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