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Official Description

Removal, non-biodegradable drug delivery implant

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 11982 refers to the procedure for the removal of a non-biodegradable drug delivery implant. Drug delivery implants are medical devices designed to release medication into the body over a specified period. Unlike biodegradable implants, which are absorbed by the body and do not require removal, non-biodegradable implants must be surgically extracted after their therapeutic purpose has been fulfilled. These implants typically consist of a cylindrical shape and are made up of a drug reservoir encased in a polymer or a mixture of drug and polymer. The polymer serves to control the rate at which the drug is released into the surrounding tissue. The insertion of such implants is performed using a specialized device provided by the manufacturer, and the procedure involves careful selection of the insertion site, usually on the inner aspect of the upper arm, followed by local anesthesia and a small incision. The removal process, as described in CPT® Code 11982, involves making an incision over the proximal tip of the implant, locating the implant, and carefully extracting it while ensuring minimal disruption to the surrounding tissue. This procedure is essential for patients who have received non-biodegradable implants, as it allows for the safe and effective removal of the device once its therapeutic role has been completed.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 11982 is indicated for the removal of non-biodegradable drug delivery implants. These implants are typically used for the sustained release of medication in various therapeutic contexts. The specific indications for this procedure may include:

  • Therapeutic Completion The implant has fulfilled its intended therapeutic purpose and needs to be removed to prevent potential complications or adverse effects.
  • Device Malfunction The implant may not be functioning as intended, necessitating its removal for patient safety and treatment efficacy.
  • Adverse Reactions The patient may experience adverse reactions or side effects related to the implant, requiring its extraction.
  • Patient Request The patient may request removal of the implant for personal reasons or due to discomfort.

2. Procedure

The procedure for the removal of a non-biodegradable drug delivery implant, as outlined in CPT® Code 11982, involves several critical steps to ensure safe and effective extraction. The following procedural steps are detailed:

  • Step 1: Incision An incision is made over the proximal tip of the drug delivery implant. This incision is strategically placed to provide optimal access to the implant while minimizing tissue damage.
  • Step 2: Identification of the Implant If the tissue pseudocapsule, which is the fibrous tissue that forms around the implant, is not visible, the physician palpates the distal end of the implant. This step is crucial for locating the implant accurately.
  • Step 3: Mobilization of the Implant The implant is then massaged forward toward the incision line to facilitate its removal. This gentle manipulation helps to dislodge the implant from the surrounding tissue.
  • Step 4: Nicking the Pseudocapsule The tissue pseudocapsule is carefully nicked to create an opening. This step allows for better access to the implant and reduces the risk of damaging surrounding structures.
  • Step 5: Insertion of Clamp A mosquito clamp is inserted through the nicked pseudocapsule to grasp the implant securely. This tool is essential for holding the tissue open during the extraction process.
  • Step 6: Removal of the Implant The tip of the implant is identified, grasped, and removed from the body. Care is taken to ensure that the entire implant is extracted without leaving any fragments behind.

3. Post-Procedure

After the removal of the non-biodegradable drug delivery implant, appropriate post-procedure care is essential for optimal recovery. The incision site is typically closed with sutures or adhesive strips, and the patient may be advised on wound care to prevent infection. Monitoring for any signs of complications, such as excessive bleeding or infection, is crucial. Patients may also receive instructions regarding activity restrictions and follow-up appointments to ensure proper healing and assess any further treatment needs. The physician may discuss the potential for alternative therapies or the insertion of a new implant if indicated.

Short Descr REMOVE DRUG IMPLANT DEVICE
Medium Descr REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT
Long Descr Removal, non-biodegradable drug delivery implant
Status Code Active Code
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 STV-Packaged Codes
ASC Payment Indicator Packaged service/item; no separate payment made.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6D - Minor procedures - other (non-Medicare fee schedule)
MUE 1
CCS Clinical Classification 174 - Other non-OR therapeutic procedures on skin and breast
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).
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
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.
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.
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
53 Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
82 Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s).
AG Primary physician
AQ Physician providing a service in an unlisted health professional shortage area (hpsa)
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
CR Catastrophe/disaster related
FP Service provided as part of family planning program
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
GE This service has been performed by a resident without the presence of a teaching physician under the primary care exception
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
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
GZ Item or service expected to be denied as not reasonable and necessary
KX Requirements specified in the medical policy have been met
LT Left side (used to identify procedures performed on the left side of the body)
PO Excepted service provided at an off-campus, outpatient, provider-based department of a hospital
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
RT Right side (used to identify procedures performed on the right side of the body)
SG Ambulatory surgical center (asc) facility service
T7 Right foot, third digit
U7 Medicaid level of care 7, as defined by each state
UA Medicaid level of care 10, as defined by each state
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
2002-01-01 Added First appearance in code book in 2002.
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