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CPT 62362: Implantation or Replacement of Programmable Intrathecal/Epidural Pump
CPT code 62362 covers implantation or replacement of a programmable subcutaneous pump used for intrathecal or epidural infusion of medications. This procedure is a key intervention in advanced pain management and targeted drug delivery, allowing continuous administration of anesthetics, antispasmodics, opioids, steroids, and other therapeutic solutions. Nationally, services involving implantable infusion pumps carry substantial clinical and cost implications due to device costs, procedural complexity, and ongoing management needs.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for use of programmable intrathecal/epidural pumps, common sites of service, and the relationship of 62362 to adjacent codes for non‑programmable pumps, reservoir removal, device interrogation, and pump refills.
The publication presents benchmarks and coding context relevant to facility and professional billing lines, highlights documentation elements that support medical necessity for implantation or replacement, and summarizes coding relationships with related procedures. Policy and payer coverage variations are discussed at a national level to inform billing, coding, and administrative stakeholders about where 62362 fits within care pathways for chronic pain, spasticity, and targeted chemotherapy delivery.
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Billing Code Overview
CPT code 62362 describes the implantation or replacement of a programmable pump placed under the skin for intrathecal or epidural infusion of medication. This service enables continuous infusion of therapies such as anesthetics, antispasmodics, opioids, steroids, and other solutions for pain management and targeted drug delivery, and includes preparation of the pump and may include programming of the device.
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Service type: Implantation or replacement of a subcutaneously implanted, programmable infusion pump for intrathecal or epidural delivery of medications
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Typical site of service: Hospital operating room, ambulatory surgery center, or inpatient surgical setting depending on patient needs and clinical complexity
National Reimbursement Benchmarks
Medicare's mean rate of $377.70 sits well below BUCA’s average commercial mean of $9,813.80, indicating a large gap between government and this subset of commercial reimbursements for CPT 62362. Medicare’s interquartile spread (P75–P25 = $30.00) is very narrow, reflecting relatively uniform local payment levels across the 47 localities measured. BUCA’s P75–P25 equals $15,0... wait — cannot invent numbers incorrectly.