Overview of CPT Code 11950: Removal of implanted drug delivery device
CPT Code 11950 refers to the surgical procedure for the removal of an implanted drug delivery device, which is used to administer medication directly into the body for various medical conditions.
When CPT Code 11950 is Used?
This procedure is indicated in several clinical scenarios.
- Malfunction of the implanted drug delivery device.
- Infection or adverse reaction related to the device.
- Patient request for removal due to side effects.
- Completion of the treatment regimen requiring device removal.
Symptoms Indicating This Procedure
Patients may report various symptoms that necessitate the removal of the device.
- Pain or discomfort at the implantation site.
- Signs of infection such as redness, swelling, or discharge.
- Device malfunction symptoms, such as inadequate drug delivery.
- Allergic reactions to the device materials.
Causes and Risk Factors
Several factors can lead to the need for device removal.
- Infection at the site of implantation.
- Mechanical failure of the device.
- Allergic reactions to the materials used in the device.
- Improper placement of the device during initial implantation.
Diagnostic Tests Before Procedure
Certain tests may be conducted to assess the need for removal.
- 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 procedure involves several key steps.
- Patient is positioned comfortably and anesthesia is administered.
- An incision is made at the site of the implanted device.
- The device is carefully dissected from surrounding tissue.
- The device is removed, and the site is cleaned.
- The incision is closed with sutures or adhesive strips.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Discuss any medications with the healthcare provider.
- Avoid blood thinners or anti-inflammatory medications as advised.
- Arrive at the facility with a responsible adult for post-procedure transport.
- Follow fasting instructions if sedation is planned.
Recovery and Aftercare
Post-procedure care is crucial for recovery.
- Rest for the first 24 hours post-surgery.
- 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 scheduled.
Possible Complications
As with any surgical procedure, there are potential risks.
- Infection at the incision site.
- Bleeding or hematoma formation.
- Nerve damage or scarring.
- Recurrence of symptoms if the underlying condition is not addressed.
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Post-Procedure Follow-Up
Follow-up care is essential for monitoring recovery.
- Schedule a follow-up appointment within 1-2 weeks post-procedure.
- Monitor healing and discuss any ongoing symptoms.
- Adjust treatment plans as necessary based on recovery.
Alternative Treatments
There are non-surgical options available.
- Medication adjustments to manage symptoms.
- Physical therapy for pain management.
- Alternative drug delivery methods if applicable.
Home Care Tips
Patients can take steps to aid recovery at home.
- Keep the surgical area clean and dry.
- Avoid strenuous activities for a few weeks.
- Take prescribed medications as directed.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Understanding the procedure can help prevent complications.
- Know the signs of infection and when to seek help.
- Discuss any concerns about the device with healthcare providers.
- Follow all pre- and post-operative instructions carefully.
Billing and Coding Information
CPT Code: 11950
Category: Surgical Procedures
Common Modifiers:
- -50
- -RT
- -LT
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
References and Sources
Frequently Asked Questions (FAQs)
What is an implanted drug delivery device?
It is a device used to deliver medication directly into the body.
How long does the procedure take?
The procedure typically takes about 30 to 60 minutes.
Will I need anesthesia?
Yes, local or general anesthesia is usually administered.
What should I expect during recovery?
You may experience some pain and swelling at the site.
Are there any restrictions after the procedure?
Avoid strenuous activities for a few weeks as advised.
