Overview of CPT Code 11952: Removal of implanted drug delivery device
CPT Code 11952 refers to the surgical removal of an implanted drug delivery device, which is used to administer medication directly into the body for various medical conditions.
When CPT Code 11952 is Used?
This procedure is indicated in several clinical scenarios.
- Removal of a malfunctioning drug delivery device.
- Patient experiencing adverse reactions to the medication.
- Device is no longer needed for treatment.
- Infection or other complications related to the device.
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.
- Uncontrolled symptoms of the condition being treated.
- Allergic reactions to the medication delivered.
Causes and Risk Factors
Several factors can lead to the need for device removal.
- Infection at the site of implantation.
- Device malfunction or failure.
- Patient's change in medical condition.
- Allergic reactions to the drug being delivered.
Diagnostic Tests Before Procedure
Certain tests may be conducted to assess the need for removal.
- Imaging studies such as ultrasound or X-ray to locate the device.
- Blood tests to check for signs of infection.
- Physical examination to assess symptoms.
Procedure Description
The removal procedure involves several key steps.
- Patient is positioned comfortably and anesthesia is administered.
- Incision is made at the site of the implanted device.
- Tissue is carefully dissected to expose the device.
- Device is gently removed from the tissue.
- Incision is closed with sutures or staples.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Avoid eating or drinking for several hours prior to surgery.
- Discuss any medications with the healthcare provider.
- Arrange for transportation home after the procedure.
Recovery and Aftercare
Post-procedure care is essential for recovery.
- Rest for the first 24 hours after the procedure.
- Keep the incision site clean and dry.
- Follow up with the healthcare provider as instructed.
- Take prescribed medications for pain management.
Possible Complications
As with any surgical procedure, there are potential risks.
- Infection at the incision site.
- Bleeding or hematoma formation.
- Nerve damage or scarring.
- Allergic reactions to anesthesia.
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Post-Procedure Follow-Up
Follow-up care is crucial for monitoring recovery.
- Schedule a follow-up appointment within a week.
- Monitor for any signs of infection or complications.
- Discuss any ongoing symptoms or concerns with the provider.
Alternative Treatments
There are non-surgical options available.
- Medication adjustments or changes.
- Physical therapy for symptom management.
- Use of alternative delivery methods for medication.
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.
- Follow medication instructions carefully.
Patient Education & Prevention
Education is key to preventing complications.
- Understand the signs of infection.
- Follow up regularly with healthcare providers.
- Discuss any concerns about the device with a doctor.
Billing and Coding Information
CPT Code: 11952
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
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.
