Overview of CPT Code 11922: Removal of implanted drug delivery device

Overview of CPT Code 11922: Removal of implanted drug delivery device

CPT Code 11922 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 11922 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 side effects.

Symptoms Indicating This Procedure

Patients may report several symptoms that necessitate the removal of the device, including:

• Pain or discomfort at the implantation site.
• Signs of infection such as redness, swelling, or discharge.
• Malfunction 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 device removal, including:

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

Diagnostic Tests Before Procedure

Before the removal procedure, certain diagnostic tests may be conducted to assess the need for removal and the patient's condition:

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

Procedure Description

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

• Patient is positioned comfortably and prepped for surgery.
• Local anesthesia is administered to numb the area around the device.
• An incision is made over the device site 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, the procedure may carry some risks, including:

• Infection at the incision site.
• Bleeding or hematoma formation.
• Damage to surrounding tissues or nerves.
• Allergic reactions to anesthesia or materials used.

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Post-Procedure Follow-Up

Follow-up care is essential to ensure proper healing:

• Schedule a follow-up appointment within a week after the procedure.
• Monitor the incision site for any unusual changes.
• Report any persistent pain or signs of infection to the healthcare provider.

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 surgical area 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:

• 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 device function.

Billing and Coding Information

CPT Code: 11922

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 widely:

• Average cost ranges from $1,500 to $3,000.
• Insurance may cover the procedure if deemed medically necessary.
• Patients should verify coverage with their insurance provider.

Related CPT Codes

• 11921 - Removal of implanted drug delivery device
• 11920 - Removal of implantable contraceptive device
• 20680 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa
• 20605 - 'Arthrocentesis, aspiration, and/or injection into a major joint or bursa'

References and Sources

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