Overview of CPT Code 25035:Injection of insulin pump reservoir
CPT Code 25035 refers to the injection of insulin into a pump reservoir, a procedure used for patients with diabetes who require continuous insulin delivery.
When CPT Code 25035 is Used?
This procedure is indicated in various clinical scenarios.
- Patients with type 1 diabetes requiring insulin pump therapy.
- Patients with type 2 diabetes who are not achieving glycemic control with multiple daily injections.
- Patients transitioning from multiple daily injections to an insulin pump.
Symptoms Indicating This Procedure
Patients may present with specific symptoms that warrant this procedure.
- Frequent hyperglycemia despite insulin therapy.
- Severe hypoglycemic episodes.
- Difficulty managing blood glucose levels.
Causes and Risk Factors
Several factors can lead to the need for insulin pump therapy.
- Type 1 diabetes.
- Type 2 diabetes with insulin dependence.
- Insulin resistance.
Diagnostic Tests Before Procedure
Certain tests may be conducted prior to the procedure.
- Blood glucose monitoring.
- Hemoglobin A1c testing.
- Insulin sensitivity tests.
Procedure Description
The procedure involves several key steps.
- Prepare the insulin pump and reservoir.
- Clean the injection site with an antiseptic.
- Inject insulin into the reservoir using a sterile syringe.
- Prime the insulin pump to ensure proper delivery.
Preparation for the Procedure
Patients should follow specific guidelines before the procedure.
- Consult with your healthcare provider about your current insulin regimen.
- Ensure you have the necessary supplies for the procedure.
- Avoid eating for a few hours prior to the injection.
Recovery and Aftercare
Post-procedure care is essential for optimal recovery.
- Monitor blood glucose levels regularly.
- Keep the injection site clean and dry.
- Follow up with your healthcare provider as scheduled.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the injection site.
- Allergic reaction to insulin.
- Pump malfunction leading to inadequate insulin delivery.
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Post-Procedure Follow-Up
Regular follow-up is crucial for managing diabetes effectively.
- Schedule a follow-up appointment within 1-2 weeks.
- Regularly assess blood glucose control.
- Adjust insulin dosage as needed based on glucose readings.
Alternative Treatments
There are other management options for diabetes.
- Multiple daily insulin injections.
- Oral hypoglycemic agents.
- Continuous glucose monitoring systems.
Home Care Tips
Patients can take steps to manage their condition at home.
- Maintain a balanced diet and exercise regularly.
- Keep a log of blood glucose readings.
- Educate yourself about diabetes management.
Patient Education & Prevention
Education is key to preventing complications.
- Understand the importance of insulin therapy.
- Recognize signs of hypo- and hyperglycemia.
- Stay informed about diabetes management strategies.
Billing and Coding Information
CPT Code: 25035
Category: Injection Procedures
Common Modifiers:
- 25 - Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure.
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $100 to $300 per injection.
- Most insurance plans cover insulin pump therapy, but coverage may vary.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is an insulin pump?
An insulin pump is a device that delivers insulin continuously to help manage diabetes.
How often do I need to refill the insulin reservoir?
Typically, the insulin reservoir needs to be refilled every few days, depending on your insulin needs.
Is the injection painful?
Most patients report minimal discomfort during the injection.
