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Providers are required to use one of the following CPT (Current Procedural Terminology) procedure codes, along with modifier U5, to designate the baclofen
If we determine your child is a good candidate for baclofen pump placement, you’ll continue the process with the following steps: 4
A stopped pump
As part of best practices, we recommend that catheter integrity be assessed whenever a pump replacement is scheduled
January 1, 2012 no longer split the “Refill” and the “Reprogramming” when done together
The pump is attached to a catheter (tube), which helps direct the medicine right to a specific area of the spinal cord (called the intrathecal space)
Gablofen ® (baclofen injection) can be billed using existing reimbursement codes
For long term treatment, the drug is placed into a pump that is surgically placed under the skin of your abdomen
1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes
You also get CPT to ICD-10-CM, CPT to HCPCS, and CPT to Modifier crosswalks
Medicare physician office fee schedule 1
Appropriate code to be determined by the The patient has a previously placed Baclofen pump, which has reached the end of its service life
The baclofen pump is implanted using a surgical procedure performed while your child is under general anesthesia
reported results of patient rating of quality of life as a result of intrathecal baclofen therapy
The billed codes: 76003, 62368 and 96530 were denied by the Claims Administrator
*CPT ® codes 62322, 62323, 62326 and 62327 should be reported when performing trial infusions prior to permanent pump implantation
Hello! Does anyone know what ICD-10 CM code would be best to use for "presence of baclofen pump?" I am thinking of using ICD-10 CM code Z97
Each ampule is intended for SINGLE USE ONLY
Trial 62322 Injection(s), of diagnostic or therapeutic substance(s) J0475 Injection, baclofen, 10 mg ASP+6% — The pump will no longer operate 90 days after the alarm has sounded, a pump replacement is recommended to avoid interruption in service and risk of withdrawal of baclofen
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He underwent open removal and replacement of the Baclofen medication pump