CPT® Code 62351

Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminectomy

The procedure described by CPT® Code 62351 involves the implantation, revision, or repositioning of a tunneled intrathecal or epidural catheter, specifically for the purpose of long-term medication administration. This procedure is performed in conjunction with a laminectomy, which is a surgical operation that involves the removal of a portion of the vertebral bone called the lamina. The primary goal of this procedure is to facilitate the delivery of medications directly into the intrathecal or epidural space, allowing for effective pain management or treatment of other conditions requiring long-term medication therapy. The process begins with the preparation of the skin and the administration of local anesthesia, followed by the insertion of a spinal needle to access the targeted space. Once the catheter is positioned correctly, it is tunneled subcutaneously to minimize discomfort and is then connected to an external pump or an implantable reservoir for medication delivery. The inclusion of a laminectomy in this procedure allows for enhanced access to the spinal canal, which may be necessary for certain patients based on their anatomical or clinical needs. This comprehensive approach ensures that the catheter is securely placed and optimally positioned for effective medication administration.