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CPT®
0092T

CPT® Code 0092T
Deleted

Code deleted, see 0375T

Official Description

Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), each additional interspace, cervical (List separately in addition to code for primary procedure)

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Total disc arthroplasty (CPT® Code 0092T) refers to a surgical procedure that involves the replacement of a damaged or diseased intervertebral disc in the cervical spine with an artificial disc. This procedure is performed via an anterior approach, meaning the incision is made at the front of the neck. The surgery includes several critical steps: discectomy, which is the removal of the damaged disc; end plate preparation, which involves shaping the bony surfaces of the vertebrae to ensure proper fit for the artificial disc; and osteophytectomy, which is the removal of bone spurs that may be compressing nearby nerves or the spinal cord. Additionally, microdissection is performed to carefully separate and protect the surrounding nerves and blood vessels during the procedure. The artificial disc is designed to mimic the natural motion of a healthy disc, providing a functional alternative to spinal fusion, which permanently immobilizes the affected segment of the spine. This code specifically applies to each additional cervical interspace where total disc arthroplasty is performed, allowing for the reporting of multiple levels treated during a single surgical session.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The total disc arthroplasty procedure (CPT® Code 0092T) is indicated for patients experiencing significant cervical spine issues, particularly those related to intervertebral disc degeneration or damage. The following conditions may warrant this surgical intervention:

  • Cervical Disc Degeneration: The deterioration of the cervical intervertebral discs, leading to pain and reduced mobility.
  • Cervical Disc Herniation: The displacement of disc material that can compress spinal nerves or the spinal cord, causing pain, numbness, or weakness in the arms or hands.
  • Osteophyte Formation: The development of bone spurs that may contribute to nerve root or spinal cord compression, necessitating surgical intervention for relief.
  • Failed Conservative Treatment: Patients who have not responded to non-surgical treatments such as physical therapy, medications, or injections may be candidates for this procedure.

2. Procedure

The total disc arthroplasty procedure involves several key steps, each critical to the successful replacement of the intervertebral disc:

  • Step 1: Anterior Approach and Exposure: The procedure begins with an incision made in the front of the neck, slightly off the midline of the spine. This approach allows access to the cervical spine while minimizing damage to surrounding structures. The esophagus is carefully retracted to provide a clear view of the spine. Surgeons identify and protect vital nerves and arteries as they dissect through the soft tissues of the neck to expose the spine.
  • Step 2: Discectomy: Once the spine is exposed, the intervertebral muscles are retracted, and the damaged or diseased disc is identified. The surgeon performs a discectomy, removing the affected disc material to alleviate pressure on the spinal nerves.
  • Step 3: End Plate Preparation: After the disc is removed, the end plates of the adjacent vertebrae are prepared. This involves milling and shaping the bony surfaces to create a suitable environment for the artificial disc. Proper preparation is essential for the stability and integration of the prosthetic device.
  • Step 4: Insertion of the Artificial Disc: Tension is applied to the vertebral bodies above and below the prepared interspace to open it up, facilitating the placement of the artificial disc. The artificial disc, which consists of two metal plates surrounding a polyurethane core and saline cushion, is inserted into the prepared space. The design of the disc allows for natural motion, mimicking the function of a healthy intervertebral disc.
  • Step 5: Finalization: Once the artificial disc is in place, tension is released from the vertebral bodies. This compression holds the artificial disc securely against the bony end plates, ensuring stability and proper alignment. The procedure is then concluded with careful closure of the incision.

3. Post-Procedure

After the total disc arthroplasty procedure, patients typically undergo a recovery period that may involve monitoring for any complications and managing pain. Physical therapy is often recommended to aid in rehabilitation and to restore strength and mobility in the cervical spine. Patients are advised to follow specific post-operative care instructions, which may include restrictions on certain activities and gradual reintroduction to normal movements. Follow-up appointments are essential to assess the healing process and the functionality of the artificial disc.
Short Descr ARTIFIC DISC ADDL
Medium Descr TOT DISC ARTHRP ANT APPR DSKC PREP CRV EA NTRSPC
Long Descr Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), each additional interspace, cervical (List separately in addition to code for primary procedure)
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Inpatient Procedures, not paid under OPPS
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P3D - Major procedure, orthopedic - other
MUE Not applicable/unspecified.
CCS Clinical Classification 154 - Arthroplasty other than hip or knee
Date
Action
Notes
2015-01-01 Deleted Code deleted, see 0375T
2009-01-01 Changed Code description changed
2007-01-01 Changed Code description changed.
2006-01-01 Added First appearance in code book in 2006.
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