tci Part B Insider - 2011 Issue 21

Reader Question: 99024 vs. E/M for Pump Follow-Up--Check Catheter Placement

Question: Our pain management physician began a patient on an intrathecal pump trial. He sees the patient in the office for three consecutive days, then the patient comes back and has the catheter removed. How should we code the three days of follow-up care?Answer: Before coding the follow-up days, you should confirm whether the physician used a tunneled or non-tunneled catheter for the trial.Tunneled option: It's fairly unusual for a physician to perform a tunneled trial catheter placement. If your physician does, however, submit 62350 (Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term...

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