Overview of CPT Code 11920: Removal of implantable contraceptive device
CPT Code 11920 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 by a healthcare provider when the device is no longer needed, has expired, or is causing complications.
When CPT Code 11920 is Used?
This procedure is indicated in several clinical scenarios.
- The patient wishes to discontinue the use of the contraceptive implant.
- The implant has reached its expiration date.
- The patient is experiencing side effects or complications from the implant.
- The patient is planning to conceive.
Symptoms Indicating This Procedure
Patients may report various symptoms that necessitate the removal of the implant.
- Persistent pain or discomfort at the implant site.
- Unusual bleeding or spotting.
- Hormonal side effects such as mood changes or weight gain.
- Desire to become pregnant.
Causes and Risk Factors
Several factors may lead to the need for removal of the contraceptive device.
- Expiration of the contraceptive implant.
- Adverse reactions to the implant.
- Changes in personal circumstances, such as a desire for pregnancy.
- Medical conditions that contraindicate the use of hormonal contraceptives.
Diagnostic Tests Before Procedure
Before the removal procedure, certain assessments may be conducted.
- Physical examination to assess the implant site.
- Ultrasound if there are concerns about the implant's position.
- Pregnancy test if the patient is experiencing symptoms of pregnancy.
Procedure Description
The removal of the implantable contraceptive device involves several key steps.
- The patient is positioned comfortably, and the area around the implant is cleaned.
- Local anesthesia is administered to minimize discomfort.
- A small incision is made over the implant site.
- The implant is carefully extracted using forceps.
- The incision is closed with sutures or adhesive strips, and a sterile bandage is applied.
Preparation for the Procedure
Patients should follow specific guidelines to prepare for the procedure.
- Discuss any medications being taken with the healthcare provider.
- Avoid blood thinners or certain supplements as advised.
- Arrive at the appointment with a full understanding of the procedure.
- Consider bringing a support person if desired.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Rest for the remainder of the day after the procedure.
- Keep the incision site clean and dry.
- Monitor for signs of infection, such as increased redness or discharge.
- Follow up with the healthcare provider as instructed.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the incision site.
- Bleeding or hematoma formation.
- Nerve or blood vessel damage.
- Incomplete removal of the implant.
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 important to ensure proper healing.
- Schedule a follow-up appointment within a week to check the incision site.
- Contact the healthcare provider if any complications arise.
- Discuss future contraceptive options during follow-up.
Alternative Treatments
There are non-surgical options for contraception.
- Oral contraceptive pills.
- Intrauterine devices (IUDs).
- Contraceptive injections.
- Barrier methods such as condoms.
Home Care Tips
Patients can take simple steps to aid recovery at home.
- Avoid strenuous activities for a few days.
- Apply ice packs to reduce swelling if needed.
- Take over-the-counter pain relievers as directed.
- Keep the incision site covered until healed.
Patient Education & Prevention
Understanding contraceptive options can help prevent unwanted pregnancies.
- Discuss contraceptive options with a healthcare provider.
- Understand the importance of regular check-ups.
- Be aware of the signs of complications from contraceptive devices.
- Consider lifestyle factors that may affect contraceptive choice.
Billing and Coding Information
CPT Code: 11920
Category: Surgical Procedures
Common Modifiers:
- 50 (bilateral procedure)
- RT (right side)
- LT (left side)
Average Cost and Insurance Coverage
Costs can vary based on location and insurance.
- Average cost ranges from $200 to $600.
- Most insurance plans cover the procedure.
- Check with your insurance provider for specific coverage details.
Related CPT Codes
References and Sources
Frequently Asked Questions (FAQs)
How long does the removal procedure take?
The procedure typically takes about 15 to 30 minutes.
Will I feel pain during the procedure?
Local anesthesia is used to minimize discomfort during the removal.
What should I do if I experience complications?
Contact your healthcare provider immediately if you notice signs of infection or excessive bleeding.
Can I get pregnant immediately after removal?
Yes, fertility can return quickly after the implant is removed.
