A patient with a programmable intrathecal pump presents for a routine fill. The documentation states that the pump was electronically analyzed and reprogrammed, but no changes were made to the drug dosing. The documentation also states that electronic analysis was performed using an application to review activations. The pump was programmed at the same dose and the new alarm was set. An LPN rendered services. Should CPT code 62369 or 95990 be used to report this service? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses coding for routine care of a programmable intrathecal pump and compares two CPT reporting options in the context of electronic analysis, refill, and reprogramming. It is intended for coders, billers, and clinical documentation staff who handle implantable pump services and need to understand the scope of the service being documented. The article also notes the role of service setting and mentions who reports the service in an inpatient hospital context.

Why This Topic Matters

Correctly identifying the scope of pump services affects CPT reporting and helps avoid misclassification of routine maintenance versus more involved device management.

Codes Discussed

• CPT: 62369
• CPT: 95990
• CPT: 62367
• CPT: 62370
• CPT: 95991

Code Ranges Discussed

• CPT: 62367-62370

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