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December 2016 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook : 9 Physician : 9.2 Services, Benefits, Limitations, and Prior Authorization : 9.2.39 Clinician-Administered Drugs : 9.2.39.43 Implantation of Catheters, Reservoirs, and Pumps

9.2.39.43
The following procedure codes may be used to bill the implantation of catheters and infusion pumps or devices for long term medication administration:
 
Procedure code 62350 or 63251 may be reimbursed when billed for the same date of service as procedure code 62360, 62361, or 62362.
Procedure codes 62355 and 62365 do not require prior authorization.
The following procedure codes are denied as included in the total anesthesia time when billed with the same date of service as an anesthesia procedure by the same physician:
 
These procedure codes are considered for reimbursement according to multiple surgery guidelines when billed with the same date of service as another surgical procedure performed by the same physician.
Procedure codes 95990, 96521, and 96522 are considered for reimbursement when used for refilling an implantable pump.
Procedure codes 62367, 62368, 62369, and 62370 may be used to bill for electronic analysis of an implantable infusion pump.
Procedure codes 62369 and 62370 will be denied when billed for the same date of service by the same provider as procedure code 62362.
The following procedure codes may be used to bill the insertion, revision, removal, or repair associated with implantable infusion pumps:
 

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