Coding Update: Total Disc Arthroplasty (22856, 22858, 0375T) (April 2015)

April 2015 page 7 Coding Update: Total Disc Arthroplasty (22856, 22858, 0375T) Effective January 1, 2015, changes were made to Current Procedural Terminology (CPT®) codes that report the performance of cervical total disc arthroplasty (artificial disc). Category I code 22856 was revised editorially (ie, a semicolon was added), and the code is now a parent code. Add-on code 22858, which may be reported in addition to code 22856, was created to report the performance of cervical total disc arthroplasty at a second level. Related to this change, Category III code 0092T for each additional interspace has been deleted...

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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 2015 coding update explains changes to CPT reporting for cervical total disc arthroplasty and provides context for how the revised and new procedure codes relate to multilevel cervical disc replacement. It is aimed at coders, billers, auditors, and spine surgery staff who need to understand the scope of the change, the procedure setting, and the accompanying guidance included in CPT Assistant. The article also includes a clinical example, a procedure description, and a brief coding tip that help frame the update without replacing the full premium content.

Why This Topic Matters

Cervical total disc arthroplasty reporting changed in 2015, so accurate code awareness is important for documentation review, claim submission, and compliance in spine surgery cases.

Article Sections

  1. April 2015 page 7

    Issue placement and article identification information for the coding update.

  2. Coding Update: Total Disc Arthroplasty (22856, 22858, 0375T)

    Overview of the CPT update, including the scope of the procedure category and the nature of the coding changes effective in 2015.

  3. Clinical Example (22858)

    A representative patient scenario illustrating the procedure context for the add-on cervical arthroplasty code.

  4. Description of Procedure (22858)

    A narrative walkthrough of the operative steps associated with the second-level cervical arthroplasty scenario.

  5. Coding Tip

    A brief note highlighting related reporting considerations for tools used during the procedure.

  6. Reference

    Citation information supporting the article’s discussion.

What You Will Learn

  • The general purpose of the 2015 cervical total disc arthroplasty coding update
  • How the article frames the relationship among the discussed CPT procedure codes
  • The clinical and procedural context surrounding multilevel cervical disc replacement
  • What supporting guidance is included with the coding update

Who Should Read This

  • Medical coders
  • Coding auditors
  • Physician office staff
  • Hospital coding departments
  • Spine surgery documentation teams

Codes Discussed

Modifiers Discussed


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