Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming or refill
CPT4 code
Name of the Procedure:
Electronic Analysis of Programmable, Implanted Pump for Intrathecal or Epidural Drug Infusion
Summary
This procedure involves the electronic evaluation of a programmable pump that has been implanted to deliver medication directly into the spinal fluid (intrathecal) or the space around the spinal cord (epidural). The analysis checks the status of the drug reservoir, alarms, and prescription settings without making any changes or refilling the device.
Purpose
The procedure is primarily used to ensure that the implanted pump is functioning correctly. It helps in verifying that medication delivery remains accurate and uninterrupted. Regular assessments can help prevent potential complications and make sure the patient's treatment is on track.
Indications
- Patients with chronic pain or spasticity who use an implanted pump for medication delivery.
- Instances where there is a need to verify the pump's functionality without altering its settings.
- Suspected issues with the pump’s reservoir, alarms, or drug prescription settings.
Preparation
- Patients may be instructed to avoid certain medications before the procedure.
- No fasting is usually required.
- Routine checks like blood pressure, heart rate, and general health assessments may be performed.
Procedure Description
- Preparation: The patient may be positioned comfortably, usually lying down.
- Device connection: A specialized programmer or reader is used to connect with the implanted pump.
- Data Retrieval: The healthcare professional retrieves data from the pump, including reservoir status, alarm history, and current drug prescription settings.
- Analysis: This data is then reviewed to ensure all settings are within the desired parameters and that the pump is functioning properly.
No changes are made to the settings, and no medication is refilled during this procedure.
Duration
The procedure typically takes about 15 to 30 minutes.
Setting
The procedure is generally performed in an outpatient clinic or a hospital setting.
Personnel
- A specially trained nurse or physician usually conducts the electronic analysis.
Risks and Complications
- The procedure is minimally invasive and carries very low risk.
- Possible rare complications include infection at the site of electronic contact or, in very rare cases, data retrieval issues.
Benefits
- Ensures the proper functioning of the implanted pump.
- Helps in early detection of potential issues, thereby preventing complications.
- No alterations mean the procedure is straightforward and quick.
Recovery
- Patients can usually resume their normal activities immediately after the procedure.
- There are no significant post-procedure care instructions.
Alternatives
- Manual assessment of pump functionality, which is more invasive and carries higher risks.
- Imaging studies like X-rays or MRI to verify the placement and condition of the implanted pump, though these are typically more involved and less specific.
Patient Experience
- During the procedure, patients should feel minimal discomfort as it is non-invasive.
- No pain management is generally required.
- Most patients do not experience any significant side effects and can leave the clinic shortly after the evaluation is completed.