CPT® Code 11975

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1. Indications

The insertion of implantable contraceptive capsules, as described by CPT® Code 11975, is indicated for individuals seeking a long-term contraceptive method to prevent pregnancy. This procedure is suitable for those who prefer a hormonal contraceptive option that provides continuous release over an extended period, typically ranging from 3 to 5 years. It is particularly indicated for patients who may have difficulty adhering to daily oral contraceptive regimens or who desire a reversible method of contraception that does not require frequent attention.

• Long-term contraception The procedure is indicated for individuals who wish to prevent pregnancy for an extended duration.
• Hormonal contraceptive option It is suitable for patients seeking a method that provides a continuous release of hormones.
• Minimally invasive procedure The insertion is performed with a small incision, making it a less invasive option compared to other surgical methods.

2. Procedure

The procedure for inserting implantable contraceptive capsules involves several key steps to ensure proper placement and effectiveness. First, the physician prepares the patient by administering a local anesthetic to numb the area under the upper arm, where the capsules will be inserted. This step is crucial for minimizing discomfort during the procedure. Following the administration of anesthesia, the physician makes a small incision in the skin to access the subcutaneous tissue. Depending on the specific contraceptive implant system being used, the physician will then insert between one to six individual capsules. Each capsule is introduced one at a time using a small trocar, which is a specialized needle designed for this purpose. If multiple capsules are being implanted, they are arranged in a fan-like configuration to ensure optimal distribution within the tissue. This careful placement is essential for the capsules to function effectively over the intended duration of 3 to 5 years.

• Step 1: Anesthesia The physician administers a local anesthetic to numb the area under the upper arm.
• Step 2: Incision A small incision is made in the skin to access the subcutaneous tissue for capsule insertion.
• Step 3: Capsule Insertion Between one to six individual capsules are inserted one at a time using a trocar, arranged in a fan-like configuration if multiple capsules are used.

3. Post-Procedure

After the insertion of the implantable contraceptive capsules, patients are typically monitored for a short period to ensure there are no immediate complications. The physician may provide instructions regarding care for the incision site, including keeping it clean and dry to prevent infection. Patients are advised to avoid strenuous activities or heavy lifting for a short time following the procedure to allow for proper healing. It is also important for patients to schedule follow-up appointments as recommended to assess the placement of the capsules and address any concerns. The capsules are designed to remain effective for 3 to 5 years, after which they will need to be removed and potentially replaced, which can be done using the procedures outlined in CPT® Codes 11976 and 11977.