Overview of CPT Code 11921: Removal of implanted drug delivery device

Overview of CPT Code 11921: Removal of implanted drug delivery device

CPT Code 11921 refers to the surgical removal of an implanted drug delivery device, which is used to administer medication directly into the body. This procedure is typically performed when the device is no longer needed, malfunctioning, or causing complications.

When CPT Code 11921 is Used?

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

• Removal of a drug delivery device due to device malfunction.
• Discontinuation of therapy that utilized the device.
• Infection or adverse reaction related to the device.
• Patient request for removal due to discomfort or other reasons.

Symptoms Indicating This Procedure

Patients may report several symptoms that indicate the need for device removal, including:

• Pain or discomfort at the implantation site.
• Signs of infection such as redness, swelling, or discharge.
• Malfunctioning of the device, such as failure to deliver medication.
• Allergic reactions to the materials used in the device.

Causes and Risk Factors

Several factors can lead to the need for removal of an implanted drug delivery device.

• Infection at the site of implantation.
• Device malfunction or failure.
• Allergic reactions to the device materials.
• Changes in patient condition requiring discontinuation of therapy.

Diagnostic Tests Before Procedure

Before the removal procedure, certain diagnostic tests may be conducted to assess the situation.

• Imaging studies such as ultrasound or X-ray to locate the device.
• Blood tests to check for signs of infection.
• Physical examination to evaluate symptoms and device condition.

Procedure Description

The removal of an implanted drug delivery device typically follows these steps:

• Patient is positioned comfortably and anesthesia is administered.
• The skin over the device is cleaned and sterilized.
• An incision is made to access the device.
• The device is carefully removed from the tissue.
• The incision is closed with sutures or adhesive strips.

Preparation for the Procedure

Patients should follow these steps to prepare for the procedure:

• Discuss any medications with the healthcare provider, especially blood thinners.
• Avoid eating or drinking for a specified period before the procedure.
• Arrange for transportation home post-procedure if sedation is used.
• Follow any specific instructions provided by the healthcare team.

Recovery and Aftercare

Post-procedure recovery typically involves the following:

• 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 this procedure.

• Infection at the incision site.
• Bleeding or hematoma formation.
• Nerve damage or scarring.
• Incomplete removal of the device.

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Post-Procedure Follow-Up

Follow-up care is essential for monitoring recovery.

• Schedule a follow-up appointment within a week after the procedure.
• Report any unusual symptoms or complications immediately.
• Discuss any further treatment options if necessary.

Alternative Treatments

In some cases, alternative management options may be considered.

• Medication adjustments without device removal.
• Physical therapy for pain management.
• Observation and monitoring if symptoms are mild.

Home Care Tips

Patients can follow these tips for effective home care:

• Keep the incision site clean and dry.
• Avoid strenuous activities for a few days.
• Take prescribed medications as directed.
• Use ice packs to reduce swelling if needed.

Patient Education & Prevention

Educating patients can help prevent complications and recurrence.

• Understand the signs of infection and when to seek help.
• Discuss any concerns about the device with healthcare providers.
• Maintain regular follow-ups to monitor health status.

Billing and Coding Information

CPT Code: 11921

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• RT - Right side
• LT - Left side

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $1,500 to $3,000.
• Insurance may cover the procedure if deemed medically necessary.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 11920 - Removal of implantable contraceptive device
• 11922 - Removal of implanted drug delivery device
• 20680 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa
• 20610 - 'Arthrocentesis, aspiration of joint'

References and Sources

• American Medical Association
• National Institutes of Health
• Centers for Medicare & Medicaid Services