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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This April 2011 CPT Assistant Q&A addresses a single integumentary-system coding scenario involving an implantable contraceptive procedure. It explains the general issue being discussed, the type of implant involved, and how related reporting may extend to HCPCS Level II for supply capture. The article is intended for coders, billers, and reimbursement staff who need to interpret procedure-based coding guidance in this area.

Why This Topic Matters

It helps readers determine whether the article is relevant to implant-related CPT reporting and whether they need accompanying HCPCS Level II supply coding considerations.

Article Sections

  1. April 2011 page 12

    The article presents a focused coding question and response from the surgery section. It centers on CPT reporting for an implant-related procedure and mentions related HCPCS Level II supply reporting.

What You Will Learn

  • How the article frames a coding question about an implantable contraceptive procedure
  • The general distinction between procedure reporting and related supply reporting
  • Which code set family the guidance primarily concerns
  • Why the article is relevant to integumentary-system surgical coding questions

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Revenue cycle professionals
  • Compliance teams

Codes Discussed


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