62369 Pump management Medicare reimbursement rates in Hawaii

This service covers electronic interrogation of an implanted programmable pump that delivers medication into the intrathecal or epidural space, review of its operating information, adjustment of its settings, and refill of its reservoir. It is used for patients with implanted systems delivering medication such as intrathecal baclofen or pain medication. Pain specialists, neurosurgeons, and other clinicians who manage these pumps commonly provide the service in an office or facility setting.

Report 62369 when the encounter includes the pump analysis, a programming change, and a refill, and the work meets this code’s provider-performance criteria. The distinction from 62370 is whether the service requires physician or other qualified health care professional skill; match the code to who performed the work and the documentation. The record should support the pump’s status review, the programming performed, the medication and amount used to refill the reservoir, and the clinical need for the visit. This code represents the combined refill-and-reprogramming service, not analysis alone or analysis with programming but no refill.