decisionhealth Newsletters, Answer Books - 2013 Issue 1 (January)
New guidance for pain pump reporting in 2013
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Article Overview
This article explains a 2013 CPT update related to pain pump refill reporting and summarizes the general guidance around when a refill is considered skilled. It is intended for coders, billers, and clinicians who report pump-related procedures and need to understand the documentation, staffing, and practice considerations tied to these services.
Why This Topic Matters
The update affects how pain pump refill services are documented and reported, including when non-physician qualified professionals may be involved. It also highlights the importance of supporting records and awareness of applicable state practice and licensing rules.
Article Sections
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Pump Implants
A brief topic header introducing the pump-related reporting discussion.
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Skilled refills in 2013 and beyond
Coverage of the updated CPT guidance for pain pump refill reporting and the surrounding documentation and practice considerations.
What You Will Learn
- How the 2013 CPT update affects pain pump refill reporting
- What general factors may be relevant when evaluating refill services
- Why documentation and supporting clinical information matter for these services
- What broad scope-of-practice considerations may apply for non-physician practitioners
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians
- Qualified non-physician practitioners
Codes Discussed
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