Overview of CPT Code 21127: Injection of implantable contraceptive device
CPT Code 21127 refers to the procedure of injecting an implantable contraceptive device, which is a long-acting reversible contraceptive method used to prevent pregnancy.
When CPT Code 21127 is Used?
This procedure is indicated in various clinical scenarios.
- Women seeking long-term contraception for more than three years.
- Patients who prefer a non-daily contraceptive method.
- Individuals who have contraindications to estrogen-containing contraceptives.
Symptoms Indicating This Procedure
Patients may present with specific symptoms or concerns that lead to this procedure.
- Desire to prevent pregnancy effectively.
- History of contraceptive failure with other methods.
- Concerns about the side effects of hormonal contraceptives.
Causes and Risk Factors
Several factors may lead to the need for this procedure.
- Unplanned pregnancies in the past.
- Inconsistent use of oral contraceptives.
- Medical conditions that limit contraceptive options.
Diagnostic Tests Before Procedure
Certain tests may be performed to ensure the appropriateness of the procedure.
- Pregnancy test to confirm the absence of pregnancy.
- Pelvic examination to assess reproductive health.
- Screening for sexually transmitted infections (STIs).
Procedure Description
The procedure involves several key steps.
- Obtain informed consent from the patient.
- Perform a thorough pelvic examination.
- Clean the insertion site with antiseptic.
- Administer local anesthesia if necessary.
- Insert the contraceptive device under the skin of the upper arm.
- Apply a sterile dressing to the insertion site.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Discuss any allergies with the healthcare provider.
- Avoid using blood thinners prior to the procedure.
- Ensure a support person is available post-procedure.
Recovery and Aftercare
Post-procedure care is essential for recovery.
- Rest for the remainder of the day after the procedure.
- Keep the insertion site clean and dry.
- Monitor for signs of infection such as redness or swelling.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the insertion site.
- Allergic reaction to the device.
- Device migration or expulsion.
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Post-Procedure Follow-Up
Follow-up care is important to ensure the device is functioning properly.
- Schedule a follow-up appointment within 1-3 months.
- Regularly check the insertion site for any abnormalities.
- Discuss any side effects experienced with the healthcare provider.
Alternative Treatments
There are other contraceptive options available.
- Oral contraceptive pills.
- Intrauterine devices (IUDs).
- Contraceptive injections.
Home Care Tips
Patients can take simple steps to aid recovery at home.
- Avoid heavy lifting or strenuous activities for a few days.
- Use over-the-counter pain relief if needed.
- Keep a record of any side effects to discuss with the doctor.
Patient Education & Prevention
Education is key to preventing unintended pregnancies.
- Understand how the implant works and its effectiveness.
- Discuss any concerns about side effects with a healthcare provider.
- Regularly review contraceptive options as needs may change.
Billing and Coding Information
CPT Code: 21127
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- RT - Right side
- LT - Left side
Average Cost and Insurance Coverage
Costs can vary based on location and insurance.
- Average cost ranges from $300 to $800.
- Many insurance plans cover the procedure.
- 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)
How long does the implant last?
The implant can last up to three years.
Is the procedure painful?
Most patients report minimal discomfort during the procedure.
Can I get pregnant immediately after removal?
Yes, fertility typically returns quickly after removal.
