11980

CPT^® 11980, Under Introduction or Removal Procedures on the Integumentary System

The Current Procedural Terminology (CPT^®) code 11980 as maintained by American Medical Association, is a medical procedural code under the range - Introduction or Removal Procedures on the Integumentary System.

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Summary

The provider inserts hormone pellets subdermally, normally under the patient's arm skin. These pellets then release levels of synthetic hormones (testosterone and/or estradiol) to treat menopausal symptoms in women or testosterone deficiency in males.

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Have a question about CPT Code 11980 ? Start a discussion here

Pellet Insertion

My office does HRT with pellets. A lot of insurances do not pay for them so we have ALL patients sign an ABN/Consent before the procedure. Some insurances require a certain diagnosis and may require "... [ Read More ]

Pellet Insertion

I need assistance please, we are looking to do pellet insertion and I need guidance as to what CPT codes and diagnosis codes to use?!!! we have never done these before and I need all the help I can ge... [ Read More ]

Medicare Denials? - Pellet Insertion 11980

[QUOTE="CODING1234, post: 502818, member: 130436"] Is anyone having Medicare denials for pellet insertion/female hormone therapy? CPT 11980- Pellet Insertion Thanks! [/QUOTE] Hello , did you ever fi... [ Read More ]

Medicare Denials? - Pellet Insertion 11980 cpt11980 female hormone therapay medicare billings medicare denials

Is anyone having Medicare denials for pellet insertion/female hormone therapy? CPT 11980- Pellet Insertion Thanks!... [ Read More ]

Unlisted drug bundled with implant

I keep getting this denial from Medicaid where they bundle the unlisted drug code J3490 to the implant code 11980. I have looked all over for guidance on this and how it should be billed to them and c... [ Read More ]

Testopel/Estradiol implants same code?

Looks like your CPT code would be 11980... 11980/J3490 (in the office) TESTOPEL implantation is a procedure with possible billing codes* ... [ Read More ]

11980 & Testopel

We are having problems getting the administration code paid (11980) the patient is bringing in their own Testopel pellets. Cigna is saying we can't bill just the admin they will not give a precert. f... [ Read More ]

11980 billing issue

Coding for Zoladex implantation?

We are billing CPT code 11980 for this. Zoladex is a manmade hormone. My question is this, because Zoladex is not testosterone or estradiol is it incorrect to use this code? Zoladex is a pellet subcu... [ Read More ]

Testopel Pellet Billing

I know this is an old one, but this is a great case to learn from. If anyone has feedback, Id greatly appreciate it, as I'm doing CCS prep now. Global period on the insert should be good. You're out... [ Read More ]

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