2025 CPT code 0164T
Removal of total disc arthroplasty, anterior approach, each additional interspace, lumbar.
Modifiers may be applicable depending on the circumstances of the procedure. Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity should be supported by documentation of failed total disc arthroplasty, persistent pain, or other complications related to the artificial discs requiring removal.
In simple words: This additional procedure removes another artificial disc from the lower back during the same surgery as the first disc removal. The surgeon accesses the area through the abdomen, carefully removes the disc, stops any bleeding, and closes the incision.
Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure). This add-on procedure involves the removal of an additional artificial disc in another lumbar interspace during the same operative session as an initial disc removal. The procedure uses an anterior approach through the abdomen, with careful dissection and mobilization of tissues. The arthroplasty device is removed, hemostasis is achieved, and the incision is closed in layers.
Example 1: A patient undergoes removal of two artificial discs in the lumbar spine during the same operation. The primary procedure code 22865 is reported along with 0164T for the removal of the second disc., A patient has a failed total disc arthroplasty at two lumbar levels. The surgeon performs a removal of the artificial discs during a single operation. 22865 and 0164T are reported., A patient with three artificial discs in the lumbar spine requires removal of all three. The surgeon performs the removal via an anterior approach. The surgeon would report 22865, along with two instances of 0164T.
Documentation should include operative report detailing the removal of the additional artificial disc, the approach used, and any complications encountered. The report should also specify the levels of the spine where the discs were removed.
- Global Days: Global Days: Refer to primary procedure code 22865.
- Specialties:Orthopedic Surgery, Neurosurgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center