Advanced Search

Neurosurgery Coding Alert

Pain Pumps:

Dont Forget to Bill for Supplies

Published on Mon Jul 01, 2002

If a neurosurgeon supplies the pump and catheter for the implantation (or subsequent replacement), he or she may gain reimbursement through the local durable medical equipment regional carrier (DMERC) by using the applicable HCPCS E code: E0782 Infusion pump, implantable, nonpro-grammable E0783 Infusion pump system; implantable, programmable (includes all components,e.g., pump, catheter, connectors, etc.) E0785 Implantable intraspinal (epidural/ intrathecal) catheter used with implantable infusion pump, replacement E0786 Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter). Note: To find a DMERC number, visit the following Web sites:

Region A (Northeast): www.uhc.com Region B (Midwest): www.astar-federal.com/anthem/affiliates/adminastar/dmerc/index.html Region C (South): www.pgba.com Region D (West): www.cignamedicare.com/dmerc.

The drugs/medication to be administered by the pump is billed using the HCPCS J code appropriate to the drug and dosage (e.g., J0476, Injection, baclofen, 50 mcg for intrathecal trial).
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Neurosurgery Coding Alert

View All