CPT® Code 95990

Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed;

The CPT® Code 95990 refers to the procedure of refilling and maintaining an implantable pump or reservoir used for drug delivery, specifically in spinal (intrathecal or epidural) or brain (intraventricular) applications. This procedure is essential for ensuring the continuous or intermittent infusion of medication over an extended period. As the drug is delivered through the pump, it is necessary to periodically refill the pump or reservoir to maintain its functionality and effectiveness. During the refill process, maintenance tasks are also performed to ensure the device operates correctly. Additionally, an electronic analysis of the pump may be conducted, which involves using an interrogation device to assess various parameters of the pump's operation. This analysis checks the reservoir status, alarm status, and drug flow rates to confirm that they are functioning within normal limits. The procedure begins with the verification of the drug received from the pharmacy, along with the corresponding prescription and patient information. An external needle is then utilized to inject the medication into the pump or reservoir through a self-septum, allowing for a sterile and efficient refill process. It is important to note that if the refilling and maintenance require the expertise of a physician or qualified healthcare professional, the appropriate code to use is 95991.