Use separate E/M and reprogramming code during pump refill to get the reimbursement you are due

Why This Topic Matters

Pump refill encounters can involve more than one reportable service, and missing a separately reportable component may affect reimbursement. The article is relevant for understanding how CPT guidance and Medicare payment references are discussed in the context of refill visits.

Article Sections

1. Pump refill coding and reimbursement overview

   Introduces the coding issues associated with implantable pump refill encounters and the broader reimbursement impact for pain practices.

2. CPT Assistant guidance and related CPT references

   Summarizes published coding guidance and references to pump refill, evaluation and management, and pump analysis or reprogramming services.

3. Differing views and payment impact

   Describes the presence of differing opinions in the coding community and discusses the general reimbursement effect of reporting multiple services at the same visit.

4. Medicare payment update note

   Notes a fee schedule update affecting pump refill payment in the physician office setting.