Pain Pump Coding

June 1, 2008

Is there a procedure code for placement of a pain pump after 15830 and 49587?

Question: Is there a procedure code for placement of a pain pump after 15830 and 49587?

Answer: You'll need to check with your carriers.

However, most do not reimburse separately for insertion of pain pumps, considering it part of the surgical package; this is Medicare's stance. According to the Medicare Carriers Manual section 4820-4830 or 100-04 Claims Processing Section 30, postop pain management is included in surgical procedures.

There are no CPT or HCPCS codes that describe placement of a pain pump catheter. For example, code 37202 is a cardiac procedure, not a pain pump insertion into a muscle or site.