96370 Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

Name of the Procedure:

Subcutaneous Infusion for Therapy or Prophylaxis (Specify Substance or Drug); Each Additional Hour

Summary

Subcutaneous infusion is a method of delivering medication or therapeutic substances directly under the skin over an extended period. This specific procedure describes the continuation of the infusion for each additional hour beyond the initial period.

Purpose

The procedure aims to provide continuous medication delivery for conditions requiring steady, controlled administration, such as pain management, hydration, or immune globulin therapy. It ensures the drug is absorbed efficiently and maintains consistent blood levels.

Indications

• Chronic pain management
• Dehydration requiring ongoing fluid replacement
• Conditions needing regular administration of medications like antibiotics or immunoglobulins
• Patients requiring steady therapeutic levels of medication without the need for frequent injections

Preparation

• Follow any fasting instructions, if applicable.
• Discuss medication adjustments with your doctor.
• Have necessary diagnostic tests or evaluations, like blood tests, completed prior to the procedure.

Procedure Description

1. Preparation: The healthcare provider will cleanse the infusion site, usually on the abdomen, thigh, or upper arm.
2. Needle Insertion: A small, flexible needle or catheter is inserted under the skin.
3. Infusion Setup: The infusion pump is connected to the catheter and set to deliver the medication over the desired time.
4. Monitoring: The site is monitored for any signs of irritation or infection. The infusion rate is regulated for each additional hour required.
5. Completion: At the end of the infusion period, the needle is removed, and the site is cleaned and bandaged.

Tools used include infusion pumps, needles or catheters, and antiseptic solutions. Anesthesia is usually not necessary, though local numbing agents may be used.

Duration

Each additional hour beyond the initial setup varies depending on the medication and treatment plan.

Setting

This procedure is typically performed in various settings, including hospitals, outpatient clinics, or even at home under medical supervision.

Personnel

Healthcare professionals involved may include:

• Nurses
• Primary care physicians
• Specialists pertinent to the patient's condition (e.g., oncologists, pain management specialists)

Risks and Complications

• Common: Mild discomfort, localized swelling, and redness at the infusion site.
• Rare: Infection, bleeding, allergic reactions, and severe skin irritation. Management involves immediate reporting of symptoms to a healthcare provider.

Benefits

• Continuous and controlled delivery of medication
• Reduced need for frequent injections or hospital visits
• Better management of chronic conditions

Benefits are often realized quickly as the medication begins to work immediately upon administration.

Recovery

• Keep the infusion site clean and dry to prevent infection.
• Follow any specific instructions provided by the healthcare team.
• Monitoring for adverse effects and regular follow-up appointments if necessary.
• Typically, minimal downtime with patients resuming normal activities shortly after.

Alternatives

• Oral medications: Convenient but may offer less control over blood levels.
• Intravenous infusion: Faster absorption but more invasive.
• Injections: Suitable for short-term treatment but not ideal for continuous medication delivery.

Each alternative has pros and cons related to absorption rates, convenience, and patient comfort.

Patient Experience

Patients may feel a slight pinch during needle insertion and some pressure from the infusion. Discomfort is generally minimal and manageable with local anesthesia if needed. After the procedure, some tenderness at the site is normal, and patients can resume regular activities shortly thereafter. Pain management is usually achieved through over-the-counter pain relievers as needed.