Summary & Overview
HCPCS E0782: Implantable Non-Programmable Infusion Pump
HCPCS Level II code E0782 denotes an implantable, non-programmable infusion pump with its primary components (pump, catheter, connectors). These devices are used to deliver targeted infusion therapies — such as analgesics, baclofen, or other continuous medications — and are significant for chronic disease management, pain control, and specialty drug delivery across the United States. As implantable durable medical equipment, E0782 can affect inpatient surgical planning, outpatient device management, and durable medical equipment billing workflows nationally.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication summarizes payer coverage patterns and administrative considerations for device coding and billing across commercial and federal programs.
Readers will find a concise overview of clinical context and the typical sites of service for implantation and follow-up care, expected billing and service line implications, commonly used modifiers (provided separately), and guidance on what to expect in claims adjudication and documentation requirements. Where specific comparative benchmarks or payer-specific policies would be relevant, this report flags areas where policy variation commonly occurs. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code E0782 describes an implantable, non-programmable infusion pump and includes all primary components such as the pump, catheter, and connectors. The device delivers continuous or intermittent infusion of medications directly into a targeted anatomical space via an implanted reservoir and catheter system.
Service Type: Durable medical device implantation and maintenance
Typical Site of Service: Inpatient or outpatient surgical settings for implantation; outpatient clinics or specialty infusion centers for follow-up and device maintenance
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with chronic, refractory pain secondary to metastatic cancer receives an implantable, non-programmable infusion pump (E0782) to provide continuous subcutaneous or intrathecal delivery of analgesic medication. Pre-procedure workflow includes pain management consultation, informed consent, medication selection (e.g., preservative-free morphine or ziconotide), baseline neurologic and infection-risk assessment, and imaging review. On the day of service the patient undergoes operating room implantation by a pain management or neurosurgical team under monitored anesthesia care or general anesthesia. The device, catheter, and connectors are implanted and secured; pocket creation and catheter tunneling are performed; pump function is confirmed by visual inspection and appropriate fill. Postoperative workflow includes recovery-room monitoring, wound care instructions, initial analgesic titration, and scheduling for routine follow-up for reservoir fills and device checks.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier — standard billing | Use for routine global billing when no other modifier applies |
52 | Reduced services | Use when the implantation is partially performed or substantially reduced in scope |
53 | Discontinued procedure | Use if implantation started but terminated for patient safety reasons |
62 | Two surgeons | Use when two surgeons with distinct, documented roles jointly perform the implantation |
78 | Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period | Use if the patient returns to the OR shortly after implantation for a complication (e.g., catheter revision) |
80 | Assistant surgeon | Use when an assistant surgeon is documented and participates in the case |
82 | Assistant surgeon (when a qualified resident surgeon not available) | Use when an assistant surgeon is required and a resident is not available |
62 | Two surgeons (alternative use) | See above — some payors require 62 for distinct surgical specialties participating |
RP | Remedy period / Repeat procedure (varies by payor) | Use when billing for a repeat or replacement pump under warranty or specific payor policies (confirm payor rules) |
TC | Technical component | Use when billing only the technical component of an associated service (e.g., facility-supplied device-only billing contexts) |
26 | Professional component | Use when billing only the physician’s professional work separate from the device/facility charge |
59 | Data not available in the input. | Data not available in the input. |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
| 2084P0800X | Pain Medicine | Physicians who evaluate and perform implantable pump procedures for chronic pain management |
| 2084N0400X | Neurosurgery | Neurosurgeons who perform device implantation and catheter placement into intrathecal space |
| 208D00000X | Anesthesiology | Anesthesiologists providing operative anesthesia and perioperative pain management |
| 207L00000X | Physical Medicine & Rehabilitation | PM&R clinicians involved in long-term pain management and pump refill coordination |
| 363L00000X | Surgery of the Peripheral Nerves | Surgeons involved in catheter routing and related peripheral procedures |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
G89.3 | Neoplasm related pain (acute) | Common indication for intrathecal analgesic infusion when systemic opioids are insufficient |
G89.4 | Chronic pain syndrome | Frequent diagnosis for consideration of implantable infusion therapy for refractory chronic pain |
M54.5 | Low back pain | Source of chronic axial or radicular pain that may lead to consideration of intrathecal therapy when intractable |
C79.51 | Secondary malignant neoplasm of bone | Metastatic bone pain often requires continuous targeted analgesia via implanted pump |
G89.29 | Other chronic pain | Broad category capturing various chronic pain etiologies treated with implantable pumps |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
62287 | Percutaneous implantation of neurostimulator electrode array, epidural | May be performed in similar neuromodulation workflows; different device but related spinal access techniques |
0350T | Implantation of programmable intrathecal drug-delivery system, including catheter; 1 or more catheters, includes all programming | Related procedure for programmable pumps; contrasts with E0782 (non-programmable pump) and may be performed in alternative device selection |
62323 | Injection(s), of diagnostic or therapeutic substances including anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level | Often used pre-implantation for diagnostic blocks or therapeutic management prior to considering pump implantation |
99223 | Initial hospital care, typically 70 minutes or more | Represents hospital inpatient evaluation that may accompany implantation admission for medically complex patients |
51702 | Insertion of temporary indwelling bladder catheter; simple | Example of adjunct procedural coding for perioperative urinary management when required during implantation |