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CPT 62350: Intrathecal/Epidural Catheter Implant or Revision
CPT code 62350 covers implantation, replacement, or repositioning of a previously tunneled intrathecal or epidural catheter used with an external or internal reservoir pump to deliver medication into the cerebrospinal fluid. This procedure enables targeted drug delivery for severe pain management, cancer-related pain, postoperative pain, spasticity, and other conditions requiring intrathecal therapy. Nationally, the code is important because it supports access to specialized neurosurgical and pain-management services that can reduce systemic opioid exposure and improve symptom control for complex patients.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical and billing framing of the service, payer coverage context, and what to expect in terms of typical sites of service and service type. The publication outlines benchmarks and policy considerations relevant to reimbursement and prior authorization practices, summarizes typical clinical indications, and highlights coding boundaries (for example, exclusion of laminectomy in the procedure). Data not available in the input are noted where applicable.
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Billing Code Overview
CPT code 62350 describes the implantation, replacement, or repositioning of a previously implanted and tunneled intrathecal or epidural catheter. The procedure excludes a laminectomy and is performed to enable instillation of medication into the cerebrospinal fluid using an external or internal reservoir pump system.
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Service type: Surgical implant/revision of tunneled intrathecal or epidural catheter to facilitate drug delivery into the cerebrospinal fluid
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Typical site of service: Operating room or interventional suite, often in a hospital inpatient or outpatient setting, or ambulatory surgery center