Overview of CPT Code 11980: Removal of implanted drug delivery device
CPT Code 11980 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 11980 is Used?
This procedure is indicated in several clinical scenarios.
- Malfunction of the drug delivery device.
- Infection or adverse reaction to the device.
- Patient request for removal due to discomfort or side effects.
- Completion of the treatment regimen requiring device removal.
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 malfunction symptoms, such as inadequate medication delivery.
- 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 implantation site.
- Mechanical failure of the device.
- Improper placement of the device.
- 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.
- Administer local anesthesia to numb the area.
- Make a small incision at the site of the device.
- Carefully dissect tissue to expose the device.
- Remove the device while minimizing trauma to surrounding tissues.
- Close the incision with sutures or adhesive strips.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Discuss any medications with the healthcare provider.
- Avoid blood thinners or anti-inflammatory medications as advised.
- Arrive at the facility with a responsible adult for post-procedure transport.
- Follow fasting instructions if sedation is planned.
Recovery and Aftercare
Post-procedure care is essential for recovery.
- Expect some swelling and discomfort at the incision site.
- Keep the area clean and dry; follow wound care instructions.
- Take prescribed pain medications as needed.
- Schedule a follow-up appointment to monitor healing.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the incision site.
- Bleeding or hematoma formation.
- Nerve damage or scarring.
- Recurrence of symptoms if the underlying issue is not addressed.
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Post-Procedure Follow-Up
Follow-up care is crucial for ensuring proper recovery.
- Typically scheduled within 1-2 weeks post-procedure.
- Monitor for signs of infection or complications.
- Assess healing and discuss any ongoing symptoms.
Alternative Treatments
There are non-surgical options available for managing conditions treated by drug delivery devices.
- Oral medications as an alternative to implanted devices.
- Physical therapy for pain management.
- Topical treatments for localized conditions.
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.
- Monitor for any signs of infection or unusual symptoms.
- Follow all post-operative instructions provided by the healthcare team.
Patient Education & Prevention
Understanding the procedure and its implications can help in prevention.
- Discuss any concerns about the device with your healthcare provider.
- Report any unusual symptoms promptly.
- Maintain regular follow-ups to monitor device function and health.
Billing and Coding Information
CPT Code: 11980
Category: Surgery
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
- 11981 - Removal of implantable contraceptive device
- 11982 - Removal of implanted drug delivery device
- 11983 - Removal of implanted drug delivery device
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of this procedure?
The procedure is performed to safely remove a malfunctioning or unwanted drug delivery device.
Is the procedure painful?
Local anesthesia is used to minimize discomfort during the procedure.
How long does recovery take?
Most patients can expect to recover within a few weeks.
