CPT Code 62350: Implantation, revision, or repositioning of tunneled intrathecal or epidural catheter

Yes. Fluoroscopy or other image guidance used during the placement of the epidural catheter for long-term medication delivery is bundled into the 62350 CPT code and should not be billed separately.

No. The catheter implantation is a component of 62350. If performed during the same surgical session, it should not be reported with other catheter placement codes. This applies to both tunneled intrathecal and epidural catheter placements used with implanted infusion pumps.

Often yes. Many payers require prior authorization, particularly when using implantable infusion pumps for combination therapies involving opioid and non-opioid drugs. Documentation must show failed conservative treatments, results of a preliminary drug trial, and that the system is functioning as intended for medication delivery.