Overview of CPT Code 11951: Removal of implanted drug delivery device

Overview of CPT Code 11951: Removal of implanted drug delivery device

CPT Code 11951 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, is malfunctioning, or is causing complications.

When CPT Code 11951 is Used?

This procedure is indicated in several clinical scenarios.

• The drug delivery device is no longer effective or necessary.
• The patient experiences adverse reactions or complications from the device.
• The device has become infected or is causing local irritation.
• The patient requires a different treatment regimen that does not involve the current device.

Symptoms Indicating This Procedure

Patients may report various symptoms that necessitate the removal of the device.

• Pain or discomfort at the site of the device.
• Signs of infection, such as redness, swelling, or discharge.
• Allergic reactions to the materials of the device.
• Ineffectiveness of the medication being delivered.

Causes and Risk Factors

Several factors can lead to the need for device removal.

• Infection at the implantation site.
• Device malfunction or failure.
• Patient intolerance to the medication delivered.
• Changes in the patient's medical condition requiring a different treatment approach.

Diagnostic Tests Before Procedure

Certain tests may be conducted to assess the need for removal.

• Physical examination of the device site.
• Imaging studies such as ultrasound or X-ray to evaluate device position.
• Laboratory tests to check for infection or inflammation.

Procedure Description

The removal procedure involves several key steps.

• The patient is positioned comfortably and the area is cleaned and sterilized.
• Local anesthesia is administered to minimize discomfort.
• An incision is made at the site of the device.
• The device is carefully extracted from the tissue.
• 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, especially blood thinners.
• Avoid eating or drinking for a specified period before the procedure.
• Arrange for transportation home post-procedure if sedation is used.

Recovery and Aftercare

Post-procedure care is essential for healing.

• Rest for the first 24 hours after the procedure.
• Keep the incision site clean and dry.
• Follow up with the healthcare provider for suture removal if necessary.
• Monitor for signs of infection or complications.

Possible Complications

While generally safe, there are potential risks associated with the 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 crucial for monitoring recovery.

• Schedule a follow-up appointment within one to two weeks post-procedure.
• Report any unusual symptoms or complications immediately.
• Discuss any further treatment options if necessary.

Alternative Treatments

There are non-surgical options that may be considered.

• Medication adjustments to manage symptoms.
• Physical therapy for pain management.
• Observation and monitoring without immediate removal.

Home Care Tips

Patients can take steps to aid their recovery at home.

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

Patient Education & Prevention

Understanding the procedure can help in prevention and management.

• Be aware of the signs of infection and complications.
• Maintain regular follow-ups with healthcare providers.
• Discuss any concerns about the device with a healthcare professional.

Billing and Coding Information

CPT Code: 11951

Category: Surgical Procedures

Common Modifiers:

• -50
• -RT
• -LT

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• The 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

• 11900 - Removal of skin lesion, excised
• 11901 - Removal of Implantable Contraceptive Device
• 11920 - Removal of implantable contraceptive device
• 11921 - Removal of implanted drug delivery device

References and Sources

• American Medical Association
• National Institutes of Health