AMA CPT® Assistant - 2023 Issue 6 (June)
Total Disc Arthroplasty (22857, 22860, 0163T) (June 2023)
June 2023 pages 16-20 Total Disc Arthroplasty (22857, 22860, 0163T) For the Current Procedural Terminology (CPT®) 2023 code set, coding changes were made to enable the reporting of a total disc arthroplasty at a second lumbar interspace. Code 0163T was deleted, code 22857 was revised, and new add-on code 22860 was established. This article provides an overview of the intent and use of these codes. Musculoskeletal System Spinal Instrumentation 22857Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar (Do not report 22857 in conjunction with 22558, 22845, 22853...
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Article Overview
This article explains a 2023 update to CPT guidance for lumbar total disc arthroplasty. It is aimed at coders, billers, and clinical documentation staff who need to understand the scope of the code change, the general intent of the reporting structure, and the kinds of procedural scenarios illustrated in the article.
Why This Topic Matters
Accurate reporting of spine arthroplasty procedures depends on recognizing when the updated CPT code structure applies and when the article’s examples and procedural context are relevant. The guidance also helps users identify the documentation and service patterns associated with the updated primary and add-on coding framework.
Article Sections
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June 2023 pages 16-20
Introductory publication information and article scope for the June 2023 CPT Assistant content.
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Musculoskeletal System
The broader CPT category in which the article places the procedure update.
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Spinal Instrumentation
The specific procedural area within the musculoskeletal system addressed by the article.
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Clinical Example and Description of Procedure
Illustrative procedural scenarios and related operative context used to show the type of service addressed by the updated coding.
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Clinical Example
A representative scenario showing the general clinical setting for one of the discussed procedure codes.
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Description of Procedure
A detailed operative narrative describing the procedural work associated with the example.
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Clinical Example
A representative scenario showing the general clinical setting for the add-on procedure code.
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Description of Procedure
A detailed operative narrative describing the additional-level service associated with the add-on example.
What You Will Learn
- The general purpose of the 2023 CPT update for lumbar total disc arthroplasty
- How the article frames the relationship between the primary procedure and add-on reporting structure
- What kinds of procedural situations are illustrated by the included clinical examples
- How the article places the topic within the musculoskeletal and spinal instrumentation categories
Who Should Read This
- Medical coders
- Coding auditors
- Reimbursement staff
- Clinical documentation specialists
- Spine surgery practice staff
Codes Discussed
Modifiers Discussed
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