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The CPT® Code 62360 refers to the procedure of implantation or replacement of a device specifically designed for intrathecal or epidural drug infusion, which includes a subcutaneous reservoir. This procedure is typically performed to facilitate the delivery of medication directly into the spinal canal or epidural space, allowing for effective pain management or treatment of various medical conditions. During the initial implantation, a surgical incision is made, usually on the lateral aspect of the lower abdomen, where a subcutaneous pocket is created to house the reservoir or pump. The device is then connected to a catheter that leads to the intrathecal or epidural space, and the incision is closed over the device to secure it in place. In cases where a replacement is necessary, the old device must be removed as a separate procedure before the new device can be implanted. It is important to note that there are specific codes for different types of devices: CPT® Code 62361 is used for the placement of a nonprogrammable pump, while CPT® Code 62362 is designated for a programmable pump. The implantation of a programmable pump involves additional steps, such as preparing the pump, checking the reservoir and alarm status, and programming the dosing and infusion parameters to ensure proper functionality post-implantation.
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