2025 CPT code 11983
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Integumentary System Surgery Feed
Removal and reinsertion of a non-biodegradable drug delivery implant.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 22 for increased procedural services, 76 for repeat procedure, etc.).
Medical necessity will be determined by the specific clinical indications for implant replacement, such as drug depletion, implant malfunction, or patient intolerance.Appropriate documentation must support the need for the procedure.
The physician is responsible for administering local anesthesia, making the incision, removing the old implant, inserting the new implant, closing the incision, and applying a bandage.Post-operative care instructions are also part of the clinical responsibility.
In simple words: This code covers a surgery where a doctor removes an old, long-lasting drug implant and puts in a new one in the same spot. The old implant is like a tiny container that slowly releases medicine over time.The doctor will give you a local anesthetic to numb the area before removing and replacing the implant and then closing the incision.
This CPT code encompasses the surgical removal of a previously implanted, non-biodegradable drug delivery system (capsule or pellet with controlled-release properties containing a drug for long-term delivery), followed by the insertion of a new, similar implant at the same site.The procedure typically involves local anesthesia, incision at the implant site, removal using instruments such as scissors or forceps, insertion of the new implant, wound closure, and bandaging.The implants may contain various drugs, including antibiotics, contraceptives, or opioids. The code does not include the cost of the drug itself.
Example 1: Removal and reinsertion of Implanon/Nexplanon contraceptive implant., Removal and reinsertion of a leuprolide acetate implant for hormone therapy., Removal and reinsertion of antibiotic beads in a joint replacement procedure.
Pre-operative diagnosis supporting the need for implant removal and replacement. Operative report detailing the procedure including type of implant removed and inserted. Post-operative notes documenting the patient's recovery and any complications.Consent forms for the surgical procedure.Imaging studies (if applicable) demonstrating the implant's location and removal.
** This code should only be used when both removal and reinsertion of a non-biodegradable drug delivery implant occur during the same session.The supply of the implant itself is not included in this code.
- Revenue Code: P6D (MINOR PROCEDURES - OTHER (NON-MEDICARE FEE SCHEDULE))
- RVU: This information is not available in the provided text and would need to be obtained from a fee schedule or other relevant resource. RVUs vary by geographic location and payer.
- Global Days : This information is not available in the provided text and would require further research.
- Payment Status: Active
- Modifier TC rule: This information is not provided in the source and would require additional research.It may depend on specific payer rules.
- Fee Schedule : Historical fee schedule data is not provided in the source and would need to be obtained from an external fee schedule database or payer.
- Specialties:Obstetrics and Gynecology, Endocrinology, Orthopedics, Oncology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)