Overview of CPT Code 11975: Removal of implanted drug delivery device
CPT Code 11975 refers to the surgical procedure for the removal of an implanted drug delivery device, which is used to administer medication directly into the body for various medical conditions.
When CPT Code 11975 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.
- 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.
- Uncontrolled symptoms of the condition being treated.
- 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.
- Improper placement of the device.
- Patient's underlying health conditions affecting device function.
- Allergic reactions to the device materials.
Diagnostic Tests Before Procedure
Certain tests may be conducted to assess the need for removal.
- Imaging studies such as X-rays or ultrasounds 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.
- Incision is made at the site of the implanted device.
- Tissue is carefully dissected to expose the device.
- The device is gently removed from the body.
- The incision is closed with sutures or staples.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Discuss any medications with the healthcare provider.
- Avoid eating or drinking for a specified period before surgery.
- Arrange for transportation home post-procedure.
- Follow any specific instructions provided by the healthcare team.
Recovery and Aftercare
Post-procedure care is essential for recovery.
- Rest and limit physical activity for a few days.
- Keep the incision site clean and dry.
- Monitor for signs of infection such as increased redness or swelling.
- Follow up with the healthcare provider as instructed.
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 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 a week post-surgery.
- Report any unusual symptoms or complications immediately.
- Discuss the results of the procedure and any further treatment options.
Alternative Treatments
There are non-surgical options available.
- Medication adjustments to manage symptoms without device use.
- Physical therapy to address underlying conditions.
- Monitoring and observation for mild cases.
Home Care Tips
Patients can take steps to aid recovery at home.
- Keep the surgical area clean and dry.
- Avoid strenuous activities until cleared by a doctor.
- Take prescribed medications as directed.
- Stay hydrated and maintain a balanced diet.
Patient Education & Prevention
Understanding the procedure can help prevent complications.
- Know the signs of infection and when to seek help.
- Discuss any concerns about the device with healthcare providers.
- Follow all pre- and post-operative instructions carefully.
Billing and Coding Information
CPT Code: 11975
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
- 11976 - Removal of implanted drug delivery device
- 11977 - Removal of implanted drug delivery device
- 11981 - Removal of implantable contraceptive device
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?
Yes, local or general anesthesia is usually administered for comfort.
What should I expect during recovery?
You may experience some soreness and should rest for a few days.
