Intrathecal Drug Delivery
To ensure that a patient meets the medically necessary policy criteria, or to find out if coverage pre-determination is required, please contact the patient's payer directly.
Coding
- ICD-9-CM Diagnosis Codes
- HCPCS II Device and Drug Codes
- CPT® Procedure Codes
- ICD-9-CM Diagnosis and Procedure Codes
- HCPCS II Device and Drug Codes
- Device C-Codes and Device Edits
- CPT® Procedure Codes
- MS-DRG Assignments - Cancer and Non-Cancer Pain
- ICD-9-CM Diagnosis Codes
- HCPCS II Device and Drug Codes
- Medicare Billing Codes and Charges for Devices and Drugs
- CPT® Procedure Codes
- ICD-9-CM Diagnosis Codes
- HCPCS II Device and Drug Codes
- CPT® Procedure Codes
- ICD-9-CM Diagnosis Codes
- HCPCS II Device and Drug Codes
- CPT® Procedure Codes
Coverage
Use this form to submit a prior authorization request and start the prior authorization process.
Use this form to choose the level of service for prior authorizations.
Sample cover letter template for obtaining prior authorization for IDD implant.
Sample cover letter template for obtaining prior authorization for IDD.
Sample cover letter template for obtaining prior authorization for IDD pump and catheter replacement.
Sample cover letter template for obtaining prior authorization for IDD pump replacement.
Sample cover letter template for obtaining prior authorization for IDD trial and implant.
Resources
The intent of this summary is to present data from published scientific literature relating to clinical and cost-effectiveness of intrathecal drugdelivery (IDD) for chronic, intractable pain.
This Literature Review was authored by Douglas E. Busby, MD. Dr. Busby, a former Medicare contractor medical director, is a Medtronic consultant.
Medtronic Inc., 2008
Medtronic has compiled this information for your convenience. It is always the provider's responsibility to determine coverage and submit appropriate codes, modifiers, and charges for the services that were rendered. Contact your local carrier/payer for interpretation of appropriate coverage and coding policies.
For unapproved uses, consult with your local carrier/payer before seeking reimbursement for use of a product that may be inconsistent with or not expressly specified in the FDA cleared or approved labeling (manual). Some payers may have policies that make it inappropriate to submit claims for such items or related services.
Related Devices
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SynchroMed II Drug Infusion System, Models 8637-20, 8637-40 |
- Reservoir Capacity: 20 mL, 40 mL
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SynchroMed EL Drug Infusion System, Model 8627 |
- Reservoir Capacity: 10 mL, 18 mL
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IsoMed Constant Flow Infusion System, Models 8472-20, 8472-35, 8472-60 |
- Reservoir Capacity: 20 mL, 35 mL, 60 mL
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ambIT Epidural Trialing Pump, Model 220287 |
- An epidural pump and cathether system for drug delivery trials.
Coverage Resources
Submission Requests Log-in
Log-in for online real time status viewing and online prior auth submission requests for Medtronic Pain Therapies.
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The Medtronic business associate (BA) agreement, is provided to cover the services of Medtronic economic and reimbursement field consultants who from time to time review specific medical insurance claims to offer advice on appropriate coding for Medtronic therapies.