Overview of CPT Code 11970: Removal of implanted drug delivery device

Overview of CPT Code 11970: Removal of implanted drug delivery device

CPT Code 11970 refers to the surgical procedure for the removal of an implanted drug delivery device, which is used to administer medication directly into the body.

When CPT Code 11970 is Used?

This procedure is indicated in several clinical scenarios.

• Device malfunction or failure to deliver medication as intended.
• Infection or adverse reaction related to the implanted device.
• Patient request for removal due to discomfort or lifestyle changes.
• 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 implantation site.
• Signs of infection such as redness, swelling, or discharge.
• Device-related complications like blockage or leakage.
• Systemic symptoms such as fever or malaise.

Causes and Risk Factors

Several factors can lead to the need for device removal.

• Infection at the site of implantation.
• Allergic reactions to the materials used in the device.
• Improper placement or positioning of the device.
• Underlying health conditions that complicate device function.

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 integrity.

Procedure Description

The removal procedure involves several key steps.

• Patient is positioned comfortably and anesthesia is administered.
• The skin over the device is cleaned and sterilized.
• An incision is made 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 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 due to anesthesia.

Recovery and Aftercare

Post-procedure care is essential for recovery.

• Rest for the first 24 hours and avoid strenuous activities.
• Keep the incision site clean and dry; follow wound care instructions.
• Monitor for signs of infection and report any concerns to the healthcare provider.

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 related to the original condition.

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Post-Procedure Follow-Up

Follow-up appointments are crucial for monitoring recovery.

• Schedule a follow-up visit within one to two weeks post-procedure.
• Regular check-ins to assess healing and address any complications.
• Long-term monitoring if the device was part of a chronic treatment plan.

Alternative Treatments

There are non-surgical options available for managing conditions.

• Medication adjustments or changes to oral therapies.
• Physical therapy to manage symptoms.
• Use of alternative delivery methods for medication.

Home Care Tips

Patients can take steps to aid their recovery at home.

• Follow all post-operative instructions provided by the healthcare team.
• Keep the incision site clean and monitor for any changes.
• Stay hydrated and maintain a balanced diet to support healing.

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 health status.

Billing and Coding Information

CPT Code: 11970

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 depending on facility and location.
• Most insurance plans cover the procedure if deemed medically necessary.

Related CPT Codes

• 11971 - Removal of implanted drug delivery device
• 11976 - Removal of implanted drug delivery device
• 11975 - Removal of implanted drug delivery device

References and Sources

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