How To Use cpt 11983

cpt 11983 describes the removal and reinsertion of a non-biodegradable drug delivery implant by a healthcare provider. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 11983.

1. What is cpt 11983?

cpt 11983 is a code used to describe the removal and reinsertion of a non-biodegradable drug delivery implant by a healthcare provider. This procedure involves the removal of an existing implant and the insertion of a new one in the same site. The implant is a capsule or pellet that contains a drug for long-term delivery.

2. Official Description

The official description of cpt 11983 is: ‘Removal with reinsertion, non-biodegradable drug delivery implant.’

3. Procedure

The procedure for cpt 11983 involves several steps:

1. The healthcare provider administers a local anesthetic to the patient.
2. An incision is made over the site of the existing implant.
3. The provider removes the implant using scissors or mosquito forceps.
4. A new non-biodegradable drug delivery implant is inserted into the same site.
5. The incision is closed and covered with a bandage to promote healing.

Non-biodegradable implants are reservoirs for the continuous release of drugs, such as antibiotics, contraceptives, or opioids. This procedure allows for the removal of the old implant and the insertion of a new one to ensure continuous drug delivery.

4. Qualifying circumstances

cpt 11983 is used when a non-biodegradable drug delivery implant needs to be removed and reinserted. This may be necessary for various reasons, such as the expiration of the existing implant, the need for a different drug or dosage, or the need to address complications or side effects. The procedure should be performed by a qualified healthcare provider who is trained in the removal and reinsertion of implants.

5. When to use cpt code 11983

cpt 11983 should be used when a healthcare provider performs the removal and reinsertion of a non-biodegradable drug delivery implant. It is important to note that this code does not cover the supply of the drug itself. If the removal or reinsertion is performed without the other, separate codes should be used (cpt 11982 for removal without insertion and cpt 11981 for insertion without removal).

6. Documentation requirements

To support a claim for cpt 11983, the healthcare provider must document the following information:

• The reason for the removal and reinsertion of the implant
• The specific non-biodegradable drug delivery implant used
• The date of the procedure
• The start and end time of the procedure
• Details of the incision and removal process
• Details of the insertion process
• Any complications or side effects encountered
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for cpt 11983, ensure that the procedure involves the removal and reinsertion of a non-biodegradable drug delivery implant. It is important to check with the payer to determine if they prefer cpt 11983 or a combination of other codes, such as cpt 11976 and cpt 11981, for removal and insertion. Additionally, it is important to note that cpt 11983 does not cover the supply of the drug itself.

8. Historical information

cpt 11983 was added to the Current Procedural Terminology system on January 1, 2002. There have been no updates to the code since its addition.

9. Similar codes to cpt 11983

Five similar codes to cpt 11983 include:

• cpt 11981: This code is used for the initial insertion of a non-biodegradable drug delivery implant.
• cpt 11982: This code is used for the removal of a non-biodegradable drug delivery implant without reinsertion.
• cpt 11976: This code is used for the removal of a non-biodegradable drug delivery implant without reinsertion, when performed by a different healthcare provider.
• cpt 11966: This code is used for the removal of a subdermal contraceptive implant.
• cpt 11967: This code is used for the removal of a subdermal contraceptive implant, when performed by a different healthcare provider.

9. Examples

1. A healthcare provider removes a non-biodegradable drug delivery implant containing antibiotics from a patient and inserts a new implant with a different antibiotic for continued treatment.
2. A healthcare provider removes a non-biodegradable drug delivery implant containing a contraceptive from a patient and inserts a new implant with a different dosage for improved effectiveness.
3. A healthcare provider removes a non-biodegradable drug delivery implant containing an opioid from a patient and inserts a new implant with a different opioid for better pain management.
4. A healthcare provider removes a non-biodegradable drug delivery implant containing a chemotherapy drug from a patient and inserts a new implant with a different chemotherapy drug for targeted treatment.
5. A healthcare provider removes a non-biodegradable drug delivery implant containing antibiotics from a patient and inserts a new implant with a different antibiotic to address complications or side effects.
6. A healthcare provider removes a non-biodegradable drug delivery implant containing a contraceptive from a patient and inserts a new implant with a different dosage to better suit the patient’s needs.
7. A healthcare provider removes a non-biodegradable drug delivery implant containing an opioid from a patient and inserts a new implant with a different opioid to address tolerance or side effects.
8. A healthcare provider removes a non-biodegradable drug delivery implant containing a chemotherapy drug from a patient and inserts a new implant with a different chemotherapy drug to target a different type of cancer.
9. A healthcare provider removes a non-biodegradable drug delivery implant containing antibiotics from a patient and inserts a new implant with a different antibiotic to address antibiotic resistance.
10. A healthcare provider removes a non-biodegradable drug delivery implant containing a contraceptive from a patient and inserts a new implant with a different dosage to better align with the patient’s reproductive goals.