Overview of CPT Code 21142: Injection of implantable contraceptive device
CPT Code 21142 refers to the procedure of injecting an implantable contraceptive device, which is a long-acting reversible contraceptive method used to prevent pregnancy. This device is typically inserted under the skin of the upper arm and releases hormones to inhibit ovulation.
When CPT Code 21142 is Used?
This procedure is indicated in various clinical scenarios.
- Women seeking long-term contraception for 3 to 5 years.
- Patients who prefer a non-daily contraceptive method.
- Individuals who have contraindications to estrogen-containing contraceptives.
- Patients who have difficulty adhering to daily contraceptive regimens.
Symptoms Indicating This Procedure
Patients may report specific symptoms or concerns that lead to this procedure.
- Desire to prevent pregnancy effectively.
- History of unintended pregnancies.
- Difficulty with other forms of contraception.
- Desire for a reversible contraceptive option.
Causes and Risk Factors
Several factors may lead to the need for this procedure.
- Unplanned pregnancies due to ineffective contraceptive use.
- Medical conditions that contraindicate estrogen use.
- Lifestyle factors that make daily contraceptive adherence challenging.
Diagnostic Tests Before Procedure
Certain tests may be performed to ensure the appropriateness of the procedure.
- Pregnancy test to confirm the absence of pregnancy.
- Medical history review to identify contraindications.
- Physical examination to assess suitability for device insertion.
Procedure Description
The procedure involves several key steps.
- Obtain informed consent from the patient.
- Prepare the insertion site by cleaning with antiseptic.
- Administer local anesthesia to minimize discomfort.
- 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.
- Schedule a consultation to discuss the procedure and its risks.
- Complete any required diagnostic tests.
- Avoid using blood thinners or certain medications as advised by the healthcare provider.
- Arrive at the appointment with a support person if desired.
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.
- Follow up with the healthcare provider as instructed.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the insertion site.
- Allergic reaction to the device.
- Improper placement of the device.
- Changes in menstrual bleeding patterns.
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Post-Procedure Follow-Up
Monitoring after the procedure is important.
- Schedule a follow-up appointment within 1 to 3 months.
- Regularly check the insertion site for any complications.
- Discuss any side effects or concerns with the healthcare provider.
Alternative Treatments
There are other contraceptive options available.
- Oral contraceptive pills.
- Intrauterine devices (IUDs).
- Contraceptive injections.
- Barrier methods such as condoms.
Home Care Tips
Patients can take simple steps to care for themselves post-procedure.
- Avoid heavy lifting or strenuous activities for a few days.
- Use over-the-counter pain relief as needed.
- Keep the area clean and avoid submerging it in water until healed.
Patient Education & Prevention
Education is key to preventing unintended pregnancies.
- Understand how the implant works and its effectiveness.
- Discuss any concerns with a healthcare provider.
- Know the signs of complications and when to seek help.
Billing and Coding Information
CPT Code: 21142
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
- 11983 - Removal of implanted drug delivery device
- 11976 - Removal of implanted drug delivery device
References and Sources
Frequently Asked Questions (FAQs)
How long does the implant last?
The implant can last for up to 3 to 5 years, depending on the type.
Is the procedure painful?
Most patients report minimal discomfort due to local anesthesia.
Can I get pregnant immediately after removal?
Yes, fertility typically returns quickly after removal.
What should I do if I experience side effects?
Contact your healthcare provider to discuss any concerns.
