Overview of CPT Code 25073: Injection of insulin pump reservoir

Overview of CPT Code 25073: Injection of insulin pump reservoir

CPT Code 25073 refers to the procedure of injecting insulin into a pump reservoir, which is a critical component for managing diabetes in patients requiring continuous insulin delivery.

When CPT Code 25073 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 have not achieved glycemic control with multiple daily injections.
• Patients transitioning from multiple daily insulin 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 hypoglycemia episodes.
• Difficulty managing blood glucose levels with injections.

Causes and Risk Factors

Several factors can lead to the need for insulin pump therapy.

• Insulin resistance in Type 2 diabetes.
• Autoimmune destruction of insulin-producing cells in Type 1 diabetes.
• Poor adherence to multiple daily injections.

Diagnostic Tests Before Procedure

Certain tests are essential to determine the appropriateness of this procedure.

• Blood glucose monitoring to assess current control.
• Hemoglobin A1c testing to evaluate long-term glucose levels.
• Insulin sensitivity tests if indicated.

Procedure Description

The procedure involves several key steps.

• Gather necessary supplies including insulin, syringe, and pump.
• Prepare the insulin by drawing it into the syringe.
• Clean the injection site on the pump reservoir.
• Inject the insulin into the reservoir using the syringe.
• Secure the reservoir and ensure proper functioning of the pump.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Ensure that the insulin pump is functioning properly.
• Check blood glucose levels prior to the procedure.
• Discuss any allergies to insulin or other medications with the healthcare provider.

Recovery and Aftercare

Post-procedure care is crucial for optimal recovery.

• Monitor blood glucose levels regularly after the injection.
• Observe the injection site for any signs of infection.
• Follow up with the healthcare provider for any concerns.

Possible Complications

While generally safe, there are potential risks associated with this 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 essential for managing diabetes effectively.

• Schedule follow-up appointments every 3-6 months.
• Adjust insulin dosage based on blood glucose monitoring.
• Consult with a diabetes educator for ongoing management.

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 proactive steps at home.

• Maintain a balanced diet and regular exercise.
• 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: 25073

Category: Injection Procedures

Common Modifiers:

• -25
• -59

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.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 25071 - Injection of insulin pump reservoir