Overview of CPT Code 11982: Removal of implanted drug delivery device

Overview of CPT Code 11982: Removal of implanted drug delivery device

CPT Code 11982 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 11982 is Used?

This procedure is indicated in several clinical scenarios.

• Device malfunction or failure to deliver medication as intended.
• Infection or adverse reaction at the implantation site.
• Patient request for removal due to side effects or personal reasons.
• 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 site of the implanted device.
• Signs of infection such as redness, swelling, or discharge.
• Uncontrolled symptoms of the condition being treated.
• Allergic reactions to the device or medication.

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 history of allergies or sensitivities.
• Changes in the patient's health status or treatment needs.

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 surgical site is cleaned and sterilized.
• An incision is made over the device to access it.
• 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.
• Avoid blood thinners or certain supplements as advised.
• Arrange for transportation post-procedure if sedation is used.
• Follow fasting instructions if applicable.

Recovery and Aftercare

Post-procedure care is essential for healing.

• Rest and limit physical activity for a few days.
• Keep the surgical site clean and dry.
• Monitor for signs of infection or unusual symptoms.
• Follow up with the healthcare provider as scheduled.

Possible Complications

While generally safe, 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

Regular follow-up is important for monitoring recovery.

• Initial follow-up within one week post-procedure.
• Additional visits as needed based on recovery progress.
• Assessment of the surgical site and overall health.

Alternative Treatments

There are non-surgical options available.

• Medication adjustments or changes in therapy.
• Physical therapy for symptom management.
• Use of alternative delivery methods for medication.

Home Care Tips

Patients can take steps to aid recovery at home.

• Keep the incision site 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 with your healthcare provider.
• Adhere to follow-up appointments for monitoring.

Billing and Coding Information

CPT Code: 11982

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.
• 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
• 11983 - Removal of implanted drug delivery device
• 20680 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa
• 20610 - 'Arthrocentesis, aspiration of joint'

References and Sources

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