In simple words: This additional procedure involves replacing a second artificial disc in the neck during the same surgery as the first disc replacement. This is done if the first replacement disc moves out of place or breaks. The surgeon goes through the front of the neck, working through the healed incision from the first surgery. They carefully place the new disc, stop any bleeding, put the tissues back in place, and close the incision again.

This add-on code describes the surgical revision and replacement of a cervical artificial disc at each additional interspace during the same operation as the initial cervical artificial disc repair. It is used when the original artificial disc has become dislocated or damaged. The procedure involves an anterior approach through the neck, dissecting through scar tissue to expose the prevertebral space. Retractors are used to hold back tissues while the surgeon identifies the target segment. Measurements are taken to ensure the proper fit of the new prosthesis. The surgeon then preps the area, inserts and secures the new disc, achieves hemostasis, reapproximates the tissues, places drains, and closes the incision.

Example 1: A patient undergoing a cervical artificial disc replacement at C5-C6 also requires revision and replacement of a previously implanted artificial disc at C6-C7 during the same surgical session. 0098T would be reported in addition to 22861., A patient with a failed artificial disc at C4-C5 undergoes a revision and replacement. During the same procedure, it is determined that the adjacent level, C5-C6, also requires an artificial disc revision. Code 0098T would be reported along with 22861., A patient undergoes removal of a total disc arthroplasty at C5-C6 with immediate replacement during the same session. They also require revision and replacement at an additional level, such as C3-C4, during the same procedure. Code 0098T would be reported along with 22861.

Documentation should support the medical necessity of the revision, including evidence of the initial disc failure or displacement. Operative details must specify the levels at which the revisions occurred and describe the reason for revision, type of implants used, and any complications encountered.