Overview of CPT Code 11983: Removal of implanted drug delivery device

Overview of CPT Code 11983: Removal of implanted drug delivery device

CPT Code 11983 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 11983 is Used?

This procedure is indicated in several clinical scenarios.

• The device is no longer needed for treatment.
• The device has malfunctioned or is causing adverse effects.
• The patient is experiencing complications related to the device.
• The patient has completed the prescribed course of therapy.

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 or failure to deliver medication.
• Allergic reactions to the materials of the device.

Causes and Risk Factors

Several factors can lead to the need for device removal.

• Infection at the site of implantation.
• Device-related complications such as migration or breakage.
• Patient intolerance to the medication delivered by the device.
• Changes in the patient's medical condition requiring discontinuation of therapy.

Diagnostic Tests Before Procedure

Certain tests may be conducted to assess the need for device 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 function.

Procedure Description

The removal procedure involves several key steps.

• The patient is positioned comfortably and anesthesia is administered.
• An incision is made at the site of the implanted device.
• The device is carefully dissected from surrounding tissue.
• The device is removed, and the site is cleaned.
• 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 after the procedure.
• Wear loose-fitting clothing on the day of the procedure.

Recovery and Aftercare

Post-procedure care is essential for recovery.

• Rest for the first 24 hours after the procedure.
• Keep the incision site clean and dry.
• Follow up with the healthcare provider for suture removal if necessary.
• Take prescribed pain medications as directed.

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.
• Allergic reactions to anesthesia or medications.

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Post-Procedure Follow-Up

Monitoring after the procedure is crucial.

• Schedule a follow-up appointment within one to two weeks.
• Monitor for any signs of infection or complications.
• Discuss any ongoing symptoms or concerns with the healthcare provider.

Alternative Treatments

There are non-surgical options available for managing conditions treated by the device.

• Oral medications to manage symptoms.
• Physical therapy for pain management.
• Alternative therapies such as acupuncture or chiropractic care.

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 unusual symptoms and report them to a healthcare provider.
• Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Understanding the procedure and its implications can help prevent complications.

• Educate yourself about the device and its function.
• Recognize signs of complications early.
• Maintain regular follow-ups with your healthcare provider.
• Discuss any concerns about the device with your doctor.

Billing and Coding Information

CPT Code: 11983

Category: Surgical Procedures

Common Modifiers:

• -50
• -RT
• -LT

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• The average cost of the procedure ranges from $1,500 to $3,000.
• Insurance may cover the procedure if deemed medically necessary.
• Patients should verify coverage with their insurance provider.

Related CPT Codes

• 11981 - Removal of implantable contraceptive device
• 11982 - Removal of implanted drug delivery device
• 20680 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa
• 20610 - 'Arthrocentesis, aspiration of joint'
• 20605 - 'Arthrocentesis, aspiration, and/or injection into a major joint or bursa'

References and Sources

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