Overview of CPT Code 11901: Removal of Implantable Contraceptive Device

Overview of CPT Code 11901: Removal of Implantable Contraceptive Device

CPT Code 11901 refers to the procedure for the removal of an implantable contraceptive device, which is a small rod placed under the skin to prevent pregnancy. This procedure is typically performed when the device has reached the end of its effective lifespan, when a patient wishes to conceive, or if there are complications.

When CPT Code 11901 is Used?

This code is applicable in various clinical scenarios, including but not limited to:

• The contraceptive device has reached its expiration date.
• The patient desires to become pregnant.
• The patient experiences side effects or complications from the device.
• The device has migrated from its original placement site.

Symptoms Indicating This Procedure

Patients may report several symptoms that indicate the need for removal of the implantable contraceptive device:

• Persistent pain or discomfort at the insertion site.
• Unusual bleeding or spotting.
• Signs of infection such as redness, swelling, or discharge.
• Desire to discontinue use for personal or medical reasons.

Causes and Risk Factors

Several factors may necessitate the removal of an implantable contraceptive device:

• Expiration of the device's effectiveness.
• Adverse reactions to the device.
• Infection at the insertion site.
• Patient's change in health status or personal circumstances.

Diagnostic Tests Before Procedure

Prior to the removal procedure, certain diagnostic tests may be conducted:

• Physical examination to assess the insertion site.
• Ultrasound to locate the device if it is not palpable.
• Pregnancy test to confirm the patient is not pregnant.

Procedure Description

The removal of the implantable contraceptive device involves the following steps:

• The patient is positioned comfortably, and the area is cleaned with antiseptic.
• Local anesthesia is administered to minimize discomfort.
• A small incision is made at the insertion site.
• The device is carefully extracted using forceps.
• The incision is closed with sutures or adhesive strips, and a sterile dressing is applied.

Preparation for the Procedure

Patients should follow these steps to prepare for the procedure:

• Consult with the healthcare provider about any medications being taken.
• Avoid blood thinners or certain supplements as advised.
• Arrange for transportation if sedation is used.
• Wear loose-fitting clothing on the day of the procedure.

Recovery and Aftercare

Post-procedure recovery typically involves:

• Resting for the remainder of the day.
• Keeping the incision site clean and dry.
• Monitoring for signs of infection or unusual symptoms.
• Taking over-the-counter pain relievers as needed.

Possible Complications

While generally safe, the procedure may carry some risks:

• Infection at the incision site.
• Excessive bleeding.
• Scarring or changes in skin sensation.
• Incomplete removal of the device.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery:

• A follow-up appointment is typically scheduled within 1-2 weeks.
• Patients should report any complications or concerns immediately.
• Further contraceptive options can be discussed during follow-up.

Alternative Treatments

Patients may consider these alternatives to surgical removal:

• Switching to a different form of contraception.
• Hormonal therapy to manage side effects.
• Counseling for family planning and reproductive health.

Home Care Tips

To ensure a smooth recovery, patients should follow these tips:

• Keep the incision site clean and dry.
• Avoid strenuous activities for a few days.
• Monitor for any signs of infection.
• Follow prescribed medication instructions.

Patient Education & Prevention

To prevent complications and ensure proper care:

• Understand the lifespan and effectiveness of contraceptive devices.
• Recognize symptoms that require medical attention.
• Discuss contraceptive options with healthcare providers regularly.

Billing and Coding Information

CPT Code: 11901

Category: Surgical Procedures

Common Modifiers:

• 50 (bilateral procedure)
• RT (right side)
• LT (left side)

Average Cost and Insurance Coverage

The cost of the procedure can vary based on several factors:

• Average cost ranges from $300 to $800.
• Insurance may cover the procedure if deemed medically necessary.
• Patients should verify coverage with their insurance provider.

Related CPT Codes

• 11900 - Removal of skin lesion, excised
• 11976 - Removal of implanted drug delivery device

References and Sources

• American College of Obstetricians and Gynecologists
• Mayo Clinic - Birth Control Implants
• Planned Parenthood - Implantable Contraceptives