Overview of CPT Code 15983: Injection of Biologic Agent into Tumor

CPT Code 15983 refers to the procedure of injecting a biologic agent directly into a tumor. This treatment is often used in oncology to target cancer cells more effectively, enhancing the immune response and potentially shrinking tumors.

When CPT Code 15983 is Used?

This procedure is indicated in various clinical scenarios.

Patients with solid tumors that are not amenable to surgical resection.
Tumors that have shown resistance to conventional therapies.
Patients seeking localized treatment to minimize systemic side effects.

Symptoms Indicating This Procedure

Patients may present with specific symptoms that warrant this procedure.

Localized pain or discomfort in the area of the tumor.
Visible swelling or mass in the affected region.
Symptoms related to tumor growth, such as obstruction or pressure on surrounding organs.

Causes and Risk Factors

Understanding the underlying causes and risk factors is crucial.

Genetic predisposition to certain types of cancer.
Environmental exposures, such as radiation or carcinogenic substances.
Chronic inflammation or infection that may lead to tumor development.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed prior to the injection.

Imaging studies such as CT or MRI to assess tumor size and location.
Biopsy to confirm the type of tumor and its responsiveness to biologic agents.
Blood tests to evaluate overall health and organ function.

Procedure Description

The procedure involves several key steps.

Patient is positioned comfortably, and the area around the tumor is cleaned.
Local anesthesia may be administered to minimize discomfort.
A syringe containing the biologic agent is carefully injected into the tumor.
The injection site is monitored for any immediate reactions.

Preparation for the Procedure

Proper preparation is essential for a successful procedure.

Patients should inform their doctor of any medications they are taking.
Fasting may be required for a few hours before the procedure.
Patients should arrange for transportation home post-procedure.

Recovery and Aftercare

Post-procedure care is important for recovery.

Patients can expect mild soreness at the injection site.
Ice packs may be applied to reduce swelling.
Follow-up appointments should be scheduled to monitor the treatment's effectiveness.

Possible Complications

While generally safe, there are potential risks involved.

Infection at the injection site.
Allergic reactions to the biologic agent.
Localized bleeding or bruising.

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Post-Procedure Follow-Up

Monitoring after the procedure is crucial.

Follow-up visits are typically scheduled within 1-2 weeks.
Imaging may be repeated to assess tumor response.
Patients should report any unusual symptoms immediately.

Alternative Treatments

There are other treatment options available.

Chemotherapy to target cancer cells systemically.
Radiation therapy to shrink tumors.
Immunotherapy to enhance the body's immune response.

Home Care Tips

Patients can take steps to aid their recovery at home.

Keep the injection site clean and dry.
Avoid strenuous activities for a few days.
Stay hydrated and maintain a balanced diet.

Patient Education & Prevention

Education is key to prevention and managing recurrence.

Regular screenings for early detection of tumors.
Healthy lifestyle choices to reduce cancer risk.
Awareness of family history and genetic counseling if necessary.

Billing and Coding Information

CPT Code: 15983

Category: Surgical Procedures

Common Modifiers:

50 - Bilateral procedure
LT - Left side
RT - Right side

Average Cost and Insurance Coverage

Costs can vary based on several factors.

The average cost ranges from $1,500 to $3,000.
Most insurance plans cover this procedure, but prior authorization may be required.
Out-of-pocket costs depend on the patient's insurance plan.