CPT® Code 36260

The CPT® Code 36260 refers to the procedure involving the insertion of an implantable intra-arterial infusion pump, which is specifically designed for the administration of chemotherapy directly into the liver. This type of pump is placed subcutaneously, meaning it is implanted beneath the skin, allowing for a more discreet and continuous delivery of medication. The primary use of this infusion pump is in the treatment of metastatic liver cancer, where localized chemotherapy can be more effective than systemic treatment. The procedure begins with a surgical incision made in the right side of the abdomen, below the ribs, to access the abdominal cavity. Once inside, the surgeon evaluates the vascular anatomy to ensure that the hepatic vasculature is normal. If it is, a catheter is inserted into the gastroduodenal artery (GDA), which is a critical step in establishing the infusion pathway. The GDA is then ligated to secure the catheter in place. A separate incision is made to create a subcutaneous pocket for the pump, which is then connected to the catheter. The functionality of the pump is tested using fluorescein dye, and it can be filled with either a chemotherapeutic agent or heparinized saline to prevent clotting. The pump is designed to deliver chemotherapy at a controlled rate over a two-week period, after which the patient returns for a refill. This procedure is essential for patients requiring targeted chemotherapy, as it allows for higher concentrations of the drug to be delivered directly to the tumor site while minimizing systemic exposure.