CPT® Code 62350

Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy

The CPT® Code 62350 refers to the procedure of implantation, revision, or repositioning of a tunneled intrathecal or epidural catheter specifically for long-term medication administration. This procedure is performed without the need for a laminectomy, which is a surgical procedure that involves the removal of a portion of the vertebrae. The primary purpose of this procedure is to facilitate the delivery of medications, such as analgesics or anesthetics, directly into the intrathecal or epidural space, allowing for effective pain management or treatment of other conditions. During the procedure, the skin over the insertion site is first cleansed with an antiseptic solution, and a local anesthetic is administered to minimize discomfort. A spinal needle is then carefully inserted into the skin and advanced into the targeted intrathecal or epidural space. Following this, a catheter is threaded through the needle, with its tip advanced to the appropriate anatomical level for optimal medication delivery. The catheter is subsequently tunneled subcutaneously to a location approximately 5-10 cm from the insertion site, where it is secured with sutures. The catheter is then connected to an external pump or an implantable reservoir or infusion pump, ensuring that the medication can be administered continuously or as needed. In cases where revision or repositioning of the catheter is necessary, the existing catheter is exposed, and adjustments are made to ensure proper function and placement, all while maintaining the integrity of the surrounding tissues.