Overview of CPT Code 20983: Injection of implantable drug delivery system

CPT Code 20983 refers to the injection of an implantable drug delivery system, which is a medical procedure used to administer medication directly into a specific area of the body over an extended period. This method is often utilized for pain management or treatment of chronic conditions.

When CPT Code 20983 is Used?

This procedure is indicated in various clinical scenarios.

Chronic pain management in patients who have not responded to oral medications.
Conditions requiring long-term medication delivery, such as cancer pain or severe spasticity.
Patients with a history of substance abuse who require controlled medication delivery.

Symptoms Indicating This Procedure

Patients may present with specific symptoms that warrant this procedure.

Persistent pain that interferes with daily activities.
Inadequate relief from traditional pain management therapies.
Severe muscle spasms or spasticity.

Causes and Risk Factors

Understanding the underlying causes and risk factors is crucial for appropriate treatment.

Chronic conditions such as arthritis or fibromyalgia.
Neuropathic pain syndromes.
Previous surgeries that may have led to chronic pain.

Diagnostic Tests Before Procedure

Several diagnostic tests may be performed to guide the decision for this procedure.

MRI or CT scans to assess the area of pain.
Nerve conduction studies to evaluate nerve function.
Pain assessments and questionnaires to determine the severity and impact of pain.

Procedure Description

The procedure involves several key steps.

Obtain informed consent from the patient.
Administer local anesthesia to the injection site.
Insert the implantable drug delivery system using imaging guidance.
Deliver the medication through the system as per the treatment plan.
Secure the device and provide post-procedure instructions.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the procedure.

Discuss all medications with the healthcare provider, including over-the-counter drugs.
Avoid blood thinners or anti-inflammatory medications as directed.
Arrive at the facility with a responsible adult for post-procedure transportation.

Recovery and Aftercare

Post-procedure care is essential for optimal recovery.

Rest for the first 24 hours after the procedure.
Keep the injection site clean and dry.
Follow up with the healthcare provider for medication adjustments and monitoring.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

Infection at the injection site.
Bleeding or hematoma formation.
Device malfunction or displacement.

Secure, compliant, and built for trust

HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.

Learn more

Post-Procedure Follow-Up

Regular follow-up is crucial for monitoring the effectiveness of the treatment.

Initial follow-up within one week to assess pain relief and device function.
Subsequent visits every 4-6 weeks to adjust medication dosages as needed.
Long-term follow-up every 3-6 months to evaluate overall treatment efficacy.

Alternative Treatments

There are several non-surgical options available for pain management.

Physical therapy to improve mobility and reduce pain.
Acupuncture for pain relief.
Medications such as NSAIDs or opioids for pain management.

Home Care Tips

Patients can take steps at home to aid recovery.

Apply ice to the injection site to reduce swelling.
Engage in light activities as tolerated, avoiding heavy lifting.
Maintain a pain diary to track symptoms and medication effectiveness.

Patient Education & Prevention

Educating patients on prevention can help avoid recurrence.

Understand the importance of medication adherence.
Engage in regular physical activity to maintain mobility.
Seek early intervention for any new or worsening symptoms.

Billing and Coding Information

CPT Code: 20983

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.

Average cost ranges from $5,000 to $15,000 depending on the facility and complexity.
Most insurance plans cover the procedure if deemed medically necessary.