© Copyright 2026 American Medical Association. All rights reserved.
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.
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