AMA CPT Changes 2012
62369 with reprogramming and refill
Added 2012
62370 with reprogramming and refill (requiring skill of a physician or other qualified health care professional
Added 2012
Rationale
The AMA/Specialty Society RVS Update Committee (RUC) identified codes 62367, 62368, 95990, and 95991 in the "Codes Reported Together 75% or More" screen. As a result, the services described by these codes have been combined as appropriate by revising code 62367, adding two new codes to this code family, and revising codes 95990 and 95991. See the Medicine/Neurology and Neuromuscular Procedures/Other Procedures section of this book for an explanation of the revisions to codes 95990 and 95991.
Code 62367 has been revised to specify that it does not include refilling of a programmable, implanted pump that is used for intrathecal or epidural drug infusion. Codes 62369 and 62370 were added to this code family to report electronic analysis of a programmable, implanted pump for intrathecal or epidural drug infusion, including reprogramming and refilling of the pump. Code 62369 is reported when a physician's skill is not required to perform the service. Code 62370 should be reported when the service does require a physician's skill.
Codes 62367 - 62370 should not be reported with codes 95990 and 95991. Codes 95990 and 95991 should be reported for refilling and maintenance without reprogramming (when performed) on a reservoir or an implantable infusion pump for spinal or brain drug delivery.