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The procedure described by CPT® Code 11976 involves the removal of implantable contraceptive capsules, which are small devices placed under the skin to provide long-term contraception. These capsules are typically made of a flexible material and contain hormones that prevent ovulation. During the removal process, the physician first palpates the area where the capsules were implanted to locate them. If the capsules are not palpable, the physician may utilize a radiograph, which is an imaging technique, to visualize their location. Once the capsules are located, the physician administers a local anesthetic to minimize discomfort during the procedure. A small incision is then made directly over the site of the capsules. The physician carefully dissects the capsules from the surrounding tissue to ensure complete removal. After the capsules are extracted, the incision is closed, completing the procedure. This process is essential for patients who wish to discontinue the use of implantable contraceptives or when the capsules need to be replaced or removed for other medical reasons.
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The procedure for the removal of implantable contraceptive capsules is indicated for several reasons, including:
The procedure for removing implantable contraceptive capsules involves several key steps:
Post-procedure care following the removal of implantable contraceptive capsules typically includes monitoring the incision site for signs of infection or complications. Patients are advised to keep the area clean and dry and to follow any specific instructions provided by the physician regarding activity restrictions. Pain management may be necessary, and over-the-counter analgesics can be recommended. Patients should also be informed about the expected recovery time and when to schedule a follow-up appointment to ensure proper healing.
| Short Descr | REMOVE CONTRACEPTIVE CAPSULE | Medium Descr | REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES | Long Descr | Removal, implantable contraceptive capsules | Status Code | Restricted Coverage | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | T-Packaged Codes | ASC Payment Indicator | Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6A - Minor procedures - skin | MUE | 1 | CCS Clinical Classification | 174 - Other non-OR therapeutic procedures on skin and breast |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | AG | Primary physician | GA | Waiver of liability statement issued as required by payer policy, individual case | GC | This service has been performed in part by a resident under the direction of a teaching physician | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | UA | Medicaid level of care 10, as defined by each state | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2013-01-01 | Changed | Short Descriptor changed. |
| 1992-01-01 | Added | First appearance in code book in 1992. |
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