Overview of CPT Code 11960: Removal of implanted drug delivery device
CPT Code 11960 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 11960 is Used?
This procedure is indicated in several clinical scenarios.
- Device malfunction or failure to deliver medication effectively.
- Infection or adverse reaction at the implantation site.
- Patient request for removal due to side effects or personal reasons.
- Completion of the treatment regimen for which the device was implanted.
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.
- Failure to achieve therapeutic effects from the medication.
- Allergic reactions or adverse effects related to the device.
Causes and Risk Factors
Several factors can lead to the need for device removal.
- Infection at the implantation site.
- Improper placement of the device.
- Patient's medical condition changing, making the device unnecessary.
- Allergic reactions to the materials used in the device.
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 the area is cleaned and sterilized.
- Local anesthesia is administered to minimize discomfort.
- An incision is made over the device site to access the implanted 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 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.
- Wear loose-fitting clothing on the day of the procedure.
Recovery and Aftercare
Post-procedure care is essential for proper 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 such as increased redness or swelling.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the incision site.
- Bleeding or hematoma formation.
- Nerve or tissue damage during removal.
- Allergic reactions to anesthesia or materials used.
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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.
- Contact the healthcare provider if any unusual symptoms arise.
- Discuss any ongoing concerns regarding the device or recovery.
Alternative Treatments
There are non-surgical options available for managing conditions treated by the device.
- Medication adjustments or changes to oral therapies.
- Physical therapy for pain management.
- Alternative drug delivery methods such as injections.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the incision site 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 prevent complications.
- Be aware of signs of infection and report them immediately.
- Follow all pre- and post-operative instructions from the healthcare provider.
- Discuss any concerns about the device with your healthcare team.
Billing and Coding Information
CPT Code: 11960
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 $1,000 to $3,000 depending on facility and location.
- Most insurance plans cover the procedure if deemed medically necessary.
- Patients should verify coverage details with their insurance provider.
Related CPT Codes
- 11981 - Removal of implantable contraceptive device
- 11983 - Removal of implanted drug delivery device
- 11960 - Removal of implanted drug delivery device
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of removing the device?
The device may be removed due to malfunction, infection, or patient preference.
Is the procedure painful?
Local anesthesia is used to minimize discomfort during the procedure.
How long does recovery take?
Most patients can resume normal activities within a few days, but full recovery may take longer.
