Overview of CPT Code 11971: Removal of implanted drug delivery device
CPT Code 11971 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 11971 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 side effects.
- Change in treatment plan requiring discontinuation of 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.
- Inability of the device to deliver medication effectively.
- Allergic reactions to the materials used in the device.
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.
- Improper placement during initial implantation.
- Patient-specific factors such as allergies or sensitivities.
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.
- The surgical site is cleaned and sterilized.
- An incision is made over the device location.
- The device is carefully dissected from surrounding tissue and removed.
- The incision is closed with sutures or staples, and a sterile dressing is applied.
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 crucial for recovery.
- Rest for the first 24 hours and avoid strenuous activities.
- Keep the surgical site clean and dry; follow wound care instructions.
- Take prescribed pain medications as needed and monitor for signs of infection.
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.
- Recurrence of symptoms if the underlying condition is not addressed.
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Post-Procedure Follow-Up
Follow-up appointments are essential for monitoring recovery.
- Schedule a follow-up visit within one to two weeks post-procedure.
- Monitor the surgical site for any signs of complications.
- Discuss any ongoing symptoms or concerns with the healthcare provider.
Alternative Treatments
There are non-surgical options that may be considered.
- Medication adjustments to manage symptoms without a device.
- Physical therapy to address underlying issues.
- Use of alternative delivery methods for medication.
Home Care Tips
Patients can take steps to aid their recovery at home.
- Keep the incision site clean and dry.
- Avoid heavy lifting or strenuous activities for a few weeks.
- Follow a healthy 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: 11971
Category: Surgery
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
References and Sources
Frequently Asked Questions (FAQs)
What is an implanted drug delivery device?
It is a device placed in the body to deliver medication directly to a specific area.
How long does the procedure take?
The removal procedure typically takes about 30 minutes to an hour.
Will I need anesthesia for the procedure?
Yes, local or general anesthesia is usually administered for comfort.
