tci General Surgery Coding Alert - 2022 Issue Q1

You Be the Coder: Clarify Coding for Drug Delivery Device

Question: Our surgery practice has access to a 3-D printer which we use to create biodegradable implants for drug delivery. We’ve been told that the code for inserting these implants limits it to non-biodegradable materials. How should we code this? Mississippi Subscriber Answer: The correct code is 11981 (Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)). Although the code descriptor includes “biodegradable,” that wasn’t always the case. Prior to January 2022, the descriptor was Insertion, non-biodegradable drug delivery implant. That may be the reason you heard that the code was limited to nonbiodegradable materials. Caveat: If...

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