Results 1 to 8 of 8

CPT codes 62367 vs 62368

  1. #1
    Default CPT codes 62367 vs 62368
    Medical Coding Books
    Hi there. I know the difference between codes 62367 and 68 is basically the reprogramming. One is with, one without. However, I'm wondering if anybody could anybody give me more in depth information on what exactly "reprogramming" of a pump involves? What is done/what occurs when a pump is reprogrammed?

    Thank you!
    Marci
    Marci A. Giardina, CPC

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    Depending on what type of pump you use, the method could vary. However, many pumps can be reprogrammed from outside the body; usually with a small computer. The provider uses a programmer to set and/or adjust the dosage, drug flow rate, etc. Small amounts of medication are delivered into the spinal canal, directly to the pain receptors in the spinal cord. This blocks the pain sensation from being interpreted by the brain. Typically, it only takes a few minutes to reprogram the pump.

  3. #3
    Default
    Hi and thank you for your response. Could you tell me if changing or adjusting the volume (nothing else is done or changed) is considered programming or no?
    Marci A. Giardina, CPC

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by marci_ann View Post
    Hi and thank you for your response. Could you tell me if changing or adjusting the volume (nothing else is done or changed) is considered programming or no?
    When you say "changing or adjusting the volume"...is the physician decreasing/increasing the daily dosage of medication?

  5. #5
    Default
    Rebecca, I will get back to you on this tomorrow, hopefully. I am a third party in asking this question, so I will find out what they mean
    Marci A. Giardina, CPC

  6. #6
    Default
    Rebecca, nothing else is done except checking the volume after the medication is filled (as compared to what the volume is before medication is filled), but the medication isn't necessarily decreased or increased. Just a normal refill for that patient. (Does that make sense? )
    Marci A. Giardina, CPC

  7. #7
    Location
    North Carolina
    Posts
    3,126
    Default
    For refilling and maintenance, you would select from CPT codes 95990/95991. Programmable pumps require reprogramming at the time of refill so you would also charge for 62368. An authoritative source for this information would be
    CPT Assistant, July 2006, Volume 16, Issue 7

    Excerpt:

    The electronic analysis and/or reprogramming of programmable implantable infusion pumps is reported separately by the use of CPT codes 62367, Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion; without reprogramming, or 62368, Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion ; with reprogramming, when performed at the same session as the refill and maintenance of the implantable pump or reservoir. A parenthetical note following code 95990 instructs users to refer to these codes for analysis and/or reprogramming. A point of significant consideration with respect to programmable pumps is that they require reprogramming at the time of refill

    Does this help?

  8. #8
    Thumbs up
    Thank you.
    Marci A. Giardina, CPC

Similar Threads

  1. CPT Code 62368
    By feliciab in forum Anesthesia
    Replies: 5
    Last Post: 08-09-2013, 12:15 AM
  2. Electronic analysis cpt 62368
    By Pat Liebl in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 05-08-2013, 09:43 AM
  3. Cpt 62368
    By LisaBadie in forum Billing/Reimbursement
    Replies: 0
    Last Post: 04-25-2011, 02:45 PM
  4. bundled coding 62367, 64483, 64484
    By jhong in forum Modifiers
    Replies: 1
    Last Post: 07-15-2009, 04:28 PM

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?

Login

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.