CPT® Code 62355

The procedure described by CPT® Code 62355 involves the removal of a previously implanted intrathecal or epidural catheter. An intrathecal catheter is a thin tube that is placed in the spinal canal to deliver medication directly to the cerebrospinal fluid, while an epidural catheter is positioned in the epidural space to administer analgesics or anesthetics. The removal process begins with exposing the catheter at the distal end of its tunnel, which is the part of the catheter that is buried under the skin. This is done by disconnecting the catheter from the associated pump or reservoir, which is the device that delivers medication. Following this, distal sutures that secure the catheter in place are removed. The next step involves palpating the tunneled portion of the catheter, which is the segment that runs under the skin, from the pump or reservoir site to the entry point into the spinal canal. A small incision is then made at the site where the catheter enters the spinal canal, allowing for access to the catheter. The subcutaneous portion of the catheter is carefully extracted, and proximal sutures, which are located closer to the entry point, are also removed. Finally, the catheter is completely withdrawn from the intrathecal or epidural space, and the skin is closed using sutures or steristrips to ensure proper healing. This procedure is essential for patients who no longer require the catheter or who may be experiencing complications related to its presence.