CPT® Code 95991

Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requiring skill of a physician or other qualified health care professional

An implantable spinal or brain infusion pump is a medical device designed to deliver medication directly into the spinal canal or brain, providing long-term continuous or intermittent drug infusion. This method of drug delivery is particularly beneficial for patients requiring consistent medication management, as it allows for precise dosing and minimizes the need for oral or intravenous administration. Over time, the pump or reservoir that holds the medication must be periodically refilled to ensure uninterrupted drug delivery. During the refilling process, maintenance of the pump or reservoir is also performed, which may include checking for any malfunctions or issues that could affect its operation. Additionally, an electronic analysis of the pump is conducted, utilizing specialized interrogation devices to assess the pump's functionality. This analysis provides critical information regarding the status of the drug reservoir, alarm conditions, and drug flow rates, ensuring that all parameters are functioning within acceptable limits. The procedure for refilling and maintaining the implantable pump requires the expertise of a physician or other qualified healthcare professional, as it involves technical skills and knowledge to ensure patient safety and effective treatment. Use CPT® Code 95991 when documenting this procedure, as it encompasses the necessary skills and actions involved in the refilling and maintenance of the implantable pump or reservoir.