95991 spinal/brain pump refil & main
Also known as: complex pump service, comprehensive pump maintenance, extended pump service
Refilling and maintenance of implanted spinal or brain drug infusion pump or reservoir with complicated or extensive service.
In Plain Language
medication pump complex service; pump maintenance with troubleshooting
Clinical Context
Complex maintenance and troubleshooting of implanted drug delivery pumps when significant adjustments, programming changes, or repairs are required.
RVU Breakdown
| Work RVU | 0.75 |
| Total RVU | 0.75 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Medicine section codes cover a wide range of non-surgical services. Documentation should include the clinical indication, procedure details, interpretation (if applicable), and any patient-specific findings.
How This Code Compares
With a work RVU of 0.75, this code ranks in the 48th percentile among Medicine codes — 1.0x below the median (0.78). The highest wRVU in this category is 23.92.
Specialties
Frequently Asked Questions
What is CPT code 95991?
CPT 95991 (spinal/brain pump refil & main) is a Medicine code. Refilling and maintenance of implanted spinal or brain drug infusion pump or reservoir with complicated or extensive service.
Who uses CPT code 95991?
CPT 95991 is used by Neurology, Pain Management, Neurosurgery. Complex maintenance and troubleshooting of implanted drug delivery pumps when significant adjustments, programming changes, or repairs are required.
When is CPT 95991 used?
Complex maintenance and troubleshooting of implanted drug delivery pumps when significant adjustments, programming changes, or repairs are required.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.