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The CPT® Code 20701 refers to the procedure for the removal of drug-delivery device(s) that are implanted deep within the body, specifically in subfascial locations. Drug delivery devices are custom-made by physicians to cater to the unique therapeutic needs of individual patients. These devices are typically utilized in conjunction with other surgical procedures, such as debridement or arthrotomy, to facilitate the healing of deep infections that may arise from trauma or to deliver various treatments directly to the affected area. The process of creating these devices involves a meticulous preparation of the implant site, which includes cleaning out any infected tissue and irrigating the area to ensure a sterile environment. The drug delivery device itself is crafted from a mixture of cement powder and antibiotic powder, combined with a liquid monomer, and shaped into specific forms that can be easily implanted. The removal of these devices, as indicated by CPT® Code 20701, necessitates a careful surgical approach that includes marginal dissection to access the device, followed by confirmation through imaging techniques, such as X-ray, to ensure complete removal of all implanted materials. This procedure is reported separately in addition to the primary surgical procedure performed.
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The removal of drug-delivery device(s) as indicated by CPT® Code 20701 is performed under specific circumstances, which include:
The procedure for the removal of drug-delivery device(s) involves several critical steps, which are detailed as follows:
Following the removal of the drug-delivery device, patients may require specific post-procedure care to ensure proper healing and recovery. This may include monitoring for signs of infection at the surgical site, managing pain with appropriate medications, and following up with the healthcare provider to assess the healing process. Patients are typically advised on activity restrictions to avoid strain on the surgical area and may need to attend follow-up appointments for further evaluation and care. Additionally, any complications arising from the procedure should be promptly addressed by the healthcare team.
| Short Descr | RMVL DEEP RX DELIVERY DEVICE | Medium Descr | REMOVAL DEEP DRUG DELIVERY DEVICE | Long Descr | Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No 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 | Items and Services Packaged into APC Rates | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 11010 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues | 11011 | MPFS Status: Active Code APC T ASC A2 Illustration for Code Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle | 11012 | MPFS Status: Active Code APC J1 ASC A2 CPT Assistant Article Illustration for Code Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone | 11043 | MPFS Status: Active Code APC T ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less | 11044 | MPFS Status: Active Code APC J1 ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less | 11046 | Addon Code Resequenced Code MPFS Status: Active Code APC N ASC N1 Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) | 11047 | Addon Code MPFS Status: Active Code APC N ASC N1 Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) | 13100 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Repair, complex, trunk; 1.1 cm to 2.5 cm | 13101 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Repair, complex, trunk; 2.6 cm to 7.5 cm | 13102 | Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure) | 13120 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm | 13121 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm | 13122 | Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) | 13131 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm | 13132 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm | 13133 | Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure) | 13151 | MPFS Status: Active Code APC T ASC A2 Illustration for Code Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm | 13152 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm | 13153 | Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure) | 13160 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Secondary closure of surgical wound or dehiscence, extensive or complicated | 14000 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less | 14001 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm | 14020 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less | 14021 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm | 14040 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less | 14041 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm | 14060 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less | 14061 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm | 14301 | MPFS Status: Active Code APC T ASC G2 Illustration for Code Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm | 14302 | Addon Code MPFS Status: Active Code APC N ASC N1 CPT Assistant Article Illustration for Code Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure) | 14350 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Filleted finger or toe flap, including preparation of recipient site | 15570 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Formation of direct or tubed pedicle, with or without transfer; trunk | 15572 | MPFS Status: Active Code APC T ASC A2 Illustration for Code Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs | 15574 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet | 15576 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral | 15736 | MPFS Status: Active Code APC T ASC A2 Illustration for Code Muscle, myocutaneous, or fasciocutaneous flap; upper extremity | 15738 | MPFS Status: Active Code APC T ASC A2 Physician Quality Reporting CPT Assistant Article Illustration for Code Muscle, myocutaneous, or fasciocutaneous flap; lower extremity | 15740 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel | 15750 | MPFS Status: Active Code APC T ASC A2 CPT Assistant Article Illustration for Code Flap; neurovascular pedicle | 15756 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Free muscle or myocutaneous flap with microvascular anastomosis | 15757 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Free skin flap with microvascular anastomosis | 15758 | MPFS Status: Active Code APC C CPT Assistant Article Illustration for Code Free fascial flap with microvascular anastomosis |
| 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. | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | 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. | 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). | CR | Catastrophe/disaster related | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner | 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 |
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| 2020-01-01 | Added | Code added. |
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