AAPC - Back to school
Results 1 to 3 of 3

Thread: Intrathecal infusion pumps

  1. #1

    Default Intrathecal infusion pumps

    AAPC: Back to School
    Can anyone offer any advise on billing for an intrathecal infusion pump??
    So far I have
    62362 for the insertion
    96425 for the initiation
    95990 or 95991 for refilling and maintenance
    drug infused
    62367 electronic anaylsis
    62365 removal

    would you be able to bill for an office visit on the same day as the initiation or refilling of pump??

  2. #2
    Join Date
    Apr 2007
    Athens, Ga.


    96425 is not applicable for intrathecal infusion pumps. That code is for intra-arterial push, not intrthecal push.

    You can bill a separate office visit if you have the documentation to support it. It would have to be a separately identifiable OV that is beyond and above what is normally required for the pump refill. See the mod-25 guidelines for more info.
    Walker Bachman, CPC, CPPM

  3. #3
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    For your codes after the initial insertion, there is also 62368 for analysis with reprogramming (62367 is without). Also, for refills, remember that 95991 is the one to use if the physician does the refill. Don't forget to also bill out the drugs used to fill the pump. If you will be using compounded medications be sure to check with your carriers on how they want you to bill those out. It can be very tricky. Good luck,

    Cindy Mc

Similar Threads

  1. Intrathecal Pain Pumps
    By DENISEF in forum Anesthesia
    Replies: 2
    Last Post: 09-29-2015, 04:39 AM
  2. pumps
    By wilccm in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-12-2012, 10:22 AM
  3. Intrathecal Infusion Therapy
    By misty.keglor@wellpoint.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-19-2011, 07:44 AM
  4. Help with Billing - Intrathecal infusion of Depocyte
    By DanielleKiehl in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-14-2009, 11:21 AM
  5. intrathecal infusion pumps for pain management
    By JacobsonJC in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-13-2009, 09:16 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.