CPT 62350: Implant/Replace Tunneled Intrathecal or Epidural Catheter

Medicare pays $384 on average nationally for this procedure.

CPT code 62350 describes the implantation, replacement, or repositioning of a previously implanted tunneled intrathecal or epidural catheter (no laminectomy), a procedure used to deliver medication into the cerebrospinal fluid via an external or internal reservoir/pump system to treat severe pain, cancer pain, postoperative pain, spasticity, and other conditions; service type: catheter implantation/revision for intrathecal or epidural drug delivery; typical site of service: operating room or interventional procedure suite under appropriate anesthesia and sterile conditions.

Customize your policy alerts

Sign up for cpt 62350 policy alerts

Get alerted when payer policies referencing 62350 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Explore openpayer tools

View all tools

CPT 62350: Implant/Replace Tunneled Intrathecal or Epidural Catheter

Medicare pays $384 on average nationally for this procedure.

Customize your policy alerts

Sign up for cpt 62350 policy alerts

Get alerted when payer policies referencing 62350 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A 54-year-old patient with chronic, refractory cancer-related back pain managed previously with an implanted intrathecal catheter presents with malfunction of the tunneled catheter and inadequate analgesic delivery. The patient reports increased pain scores, decreased sensation in the lower extremities is absent, and reservoir pump interrogation suggests poor flow. The neurosurgery or pain management team schedules the patient for an operative procedure to replace or reposition the previously implanted tunneled intrathecal catheter to restore intrathecal drug delivery.

The clinical workflow includes preoperative evaluation (medical history, medication reconciliation, neurological exam, and imaging review), perioperative antibiotic prophylaxis and informed consent, placement in the operating room or ambulatory surgery center, device interrogation and localization, administration of anesthesia (general, monitored anesthesia care, or regional as indicated), surgical exposure of the previous catheter site, removal and replacement or repositioning of the tunneled intrathecal or epidural catheter without performing a laminectomy, securement and tunneling of the new catheter, intraoperative confirmation of catheter patency with cerebrospinal fluid aspiration or contrast under fluoroscopy, pump/catheter connection as needed, wound closure, postoperative recovery, device programming and medication titration, and discharge with follow-up for wound check and pump refilling as needed.

Typical site of service: hospital operating room or ambulatory surgery center.

Typical service type: operative procedure for intrathecal/epidural catheter management (implantation, replacement, or repositioning) intended for delivery of medication into cerebrospinal fluid for severe pain or spasticity management.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`62350`	Implantation, replacement, or repositioning of previously implanted and tunneled intrathecal or epidural catheter; does not include laminectomy	Primary procedure described; used when replacing or repositioning a tunneled intrathecal/epidural catheter for medication delivery.
`63650`	Percutaneous implantation of neurostimulator electrode array; and pulse generator placement when performed, including connection	May be performed in pain workflows for neuromodulation as an alternative or adjunct to intrathecal therapy; separate procedure when neuromodulation is indicated.
`63550`	Identification, reprogramming, or replacement of implanted neurostimulator pulse generator or receiver	Related to device management when external or internal pump systems require programming or replacement in the same episode of care.
`62360`	Failure or revision of tunneled catheter featuring pump interface (note: actual code for intrathecal pump revision is `62362` for insertion of catheter attached to pump)	Related catheter revision codes may be used when other catheter or pump components require separate reporting.
`99152`	Moderate sedation services provided by the same physician performing the procedure, initial 30 minutes	Often reported when monitored anesthesia care or moderate sedation is provided during catheter procedures (verify payer rules).

Note: If specific adjunct or pump insertion codes are needed, coders should select the code that accurately reflects the distinct services performed and follow payer-specific bundling rules.

Related Modifiers

10 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
58	Modifier 58 (Staged or related procedure/service by the same physician during the postoperative period) indicates that a subsequent procedure performed by the same provider during the…	- Use modifier 58 when the same physician/QHP performs a procedure during the postoperative/global period of an earlier procedure and the subsequent procedure is either planned or anticipated…
73	Modifier 73 indicates a facility-level outpatient hospital or ASC procedure that was discontinued after the patient was prepared and taken to the procedure/operating room but before any anesthesia…	- When to use: Apply CPT modifier 73 on the FACILITY (outpatient hospital or ASC) claim when the patient has been fully prepared and physically taken into the procedure/operating room but the…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
2086S0122X	Plastic and Reconstructive Surgery Physician	A surgeon who specializes in plastic and reconstructive surgery.
207RH0000X	Hematology (Internal Medicine) Physician	An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, cl…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
376J00000X	Homemaker	An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly respo…
207RI0008X	Hepatology Physician	The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine…
261QE0002X	Emergency Care Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
207QS0010X	Sports Medicine (Family Medicine) Physician	A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of hea…

Related Payer Policy Updates

Specialty: Anesthesiology1 / 3

10 rows

Policy	Payer	Effective Date
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Elective Inpatient Services (for Idaho Only)	UnitedHealthcare	2026-06-01
Sites of Service	priority health	2026-06-01
Coverage for Ambulatory Surgery Unit (ASU)/Outpatient Facility and Anesthesia for Dental Services	univerahealthcare	2026-05-21
Mm_0579_Coveragepositioncriteria_Anesthesia_Services_Selected_Nerve_Blocks	Cigna	2026-05-15
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders	Blue Cross Blue Shield - North Carolina	2026-04-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders	Blue Cross Blue Shield - North Carolina	2026-04-01

CPT 62330: Lumbar Laminotomy with Ligamentum Flavum Decompression

CPT-62331-LUMBAR-DECOMPRESSION-LAMINOTOMY-LIGAMENTUM-FLAVUM-BILATERAL-ADD-ON

CPT 62331: Lumbar Laminotomy and Ligamentum Flavum Decompression (Add-on)

CPT-62351-INTRATHECAL-EPIDURAL-CATHETER-IMPLANT-REVISION

CPT 62351: Intrathecal/Epidural Catheter Implant or Revision

CPT-62355-INTRATHECAL-CATHETER-REMOVAL

CPT 62355: Removal of Tunneled Intrathecal Catheter

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

Clinical & Coding Specifications

Clinical Context

Typical site of service: hospital operating room or ambulatory surgery center.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`62350`	Implantation, replacement, or repositioning of previously implanted and tunneled intrathecal or epidural catheter; does not include laminectomy	Primary procedure described; used when replacing or repositioning a tunneled intrathecal/epidural catheter for medication delivery.
`63650`	Percutaneous implantation of neurostimulator electrode array; and pulse generator placement when performed, including connection	May be performed in pain workflows for neuromodulation as an alternative or adjunct to intrathecal therapy; separate procedure when neuromodulation is indicated.
`63550`	Identification, reprogramming, or replacement of implanted neurostimulator pulse generator or receiver	Related to device management when external or internal pump systems require programming or replacement in the same episode of care.
`62360`	Failure or revision of tunneled catheter featuring pump interface (note: actual code for intrathecal pump revision is `62362` for insertion of catheter attached to pump)	Related catheter revision codes may be used when other catheter or pump components require separate reporting.
`99152`	Moderate sedation services provided by the same physician performing the procedure, initial 30 minutes	Often reported when monitored anesthesia care or moderate sedation is provided during catheter procedures (verify payer rules).

Note: If specific adjunct or pump insertion codes are needed, coders should select the code that accurately reflects the distinct services performed and follow payer-specific bundling rules.

Related Modifiers

10 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
63	Modifier‑63 is appended to surgical CPT codes (20000–69990) when a procedure is performed on a neonate or infant weighing ≤ 4 kg (about 8.8 lbs). The AMA/AAPC definition specifies this use and notes…	- Use modifier -63 only for surgical procedures in the CPT 20000–69990 series performed on a neonate or infant who weighs ≤ 4 kg at the time of the procedure; it indicates increased complexity due to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
79	Modifier 79 indicates a surgical procedure performed during the postoperative global period of a prior surgery that is unrelated to the original procedure. Per AMA/CPT and CMS guidance, it is…	- Use modifier 79 when the same physician (or same‑specialty physician in the same group) performs a surgical procedure during the postoperative global period of a prior surgery and the new procedure…
58	Modifier 58 (Staged or related procedure/service by the same physician during the postoperative period) indicates that a subsequent procedure performed by the same provider during the…	- Use modifier 58 when the same physician/QHP performs a procedure during the postoperative/global period of an earlier procedure and the subsequent procedure is either planned or anticipated…
73	Modifier 73 indicates a facility-level outpatient hospital or ASC procedure that was discontinued after the patient was prepared and taken to the procedure/operating room but before any anesthesia…	- When to use: Apply CPT modifier 73 on the FACILITY (outpatient hospital or ASC) claim when the patient has been fully prepared and physically taken into the procedure/operating room but the…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
2086S0122X	Plastic and Reconstructive Surgery Physician	A surgeon who specializes in plastic and reconstructive surgery.
207RH0000X	Hematology (Internal Medicine) Physician	An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, cl…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
376J00000X	Homemaker	An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly respo…
207RI0008X	Hepatology Physician	The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine…
261QE0002X	Emergency Care Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
207QS0010X	Sports Medicine (Family Medicine) Physician	A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of hea…

Related Payer Policy Updates

Specialty: Anesthesiology1 / 3

10 rows

Policy	Payer	Effective Date
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders	Premera Bluecross	2026-07-01
Elective Inpatient Services (for Idaho Only)	UnitedHealthcare	2026-06-01
Sites of Service	priority health	2026-06-01
Coverage for Ambulatory Surgery Unit (ASU)/Outpatient Facility and Anesthesia for Dental Services	univerahealthcare	2026-05-21
Mm_0579_Coveragepositioncriteria_Anesthesia_Services_Selected_Nerve_Blocks	Cigna	2026-05-15
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders	Blue Cross Blue Shield - North Carolina	2026-04-01
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders	Blue Cross Blue Shield - North Carolina	2026-04-01

CPT 62330: Lumbar Laminotomy with Ligamentum Flavum Decompression

CPT-62331-LUMBAR-DECOMPRESSION-LAMINOTOMY-LIGAMENTUM-FLAVUM-BILATERAL-ADD-ON

CPT 62331: Lumbar Laminotomy and Ligamentum Flavum Decompression (Add-on)

CPT-62351-INTRATHECAL-EPIDURAL-CATHETER-IMPLANT-REVISION

CPT 62351: Intrathecal/Epidural Catheter Implant or Revision

CPT-62355-INTRATHECAL-CATHETER-REMOVAL

CPT 62355: Removal of Tunneled Intrathecal Catheter

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

CPT 62350: Implant/Replace Tunneled Intrathecal or Epidural Catheter

Sign up for cpt 62350 policy alerts

OpenPayer

CPT 62350: Implant/Replace Tunneled Intrathecal or Epidural Catheter

Sign up for cpt 62350 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

References

CPT 62350: Implant/Replace Tunneled Intrathecal or Epidural Catheter

Sign up for cpt 62350 policy alerts

CPT 62350: Implant/Replace Tunneled Intrathecal or Epidural Catheter

Sign up for cpt 62350 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What clinical service does CPT 62350 describe?

Where is this procedure typically performed and what are the main workflow steps?

Which CPT modifiers are referenced as relevant to reporting CPT 62350?

Are there other CPT codes I should consider when coding an intrathecal catheter procedure?

Which payers are noted as covering CPT 62350 and does the page provide coverage details?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Payer Policy Updates

Related Codes

What clinical service does CPT 62350 describe?

Where is this procedure typically performed and what are the main workflow steps?

Which CPT modifiers are referenced as relevant to reporting CPT 62350?

Are there other CPT codes I should consider when coding an intrathecal catheter procedure?

Which payers are noted as covering CPT 62350 and does the page provide coverage details?

References