AMA CPT® Assistant - 2011 Issue 4 (April)

Surgery: Integumentary System (Q & A) (April 2011)

April 2011 page 12 Surgery: Integumentary System Question: When implanting a single-rod implantable contraceptive, is it appropriate to report code 11975 for this procedure, as the code descriptor is specific for contraceptive use? Answer: No. It is not appropriate to report code 11975, Insertion, implantable contraceptive capsules, as capsules were not implanted in the procedure described. However, it is appropriate to report code 11981, Insertion, non-biodegradable drug delivery implant. Rods differ from capsules in that they contain a matrix of a cured mixture of steroid crystals and polymer, while capsules contain free steroid crysts. Since the question describes a...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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