CPT® Code 0095T

Add-On Code

Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (List separately in addition to code for primary procedure)

The CPT® Code 0095T refers to the procedure of removing a total disc arthroplasty, specifically an artificial disc, through an anterior approach at each additional interspace in the cervical region. This procedure is performed when there is a need to revise an existing cervical total-disc arthroplasty, which may involve the replacement of the artificial disc. The surgical approach begins with an incision made in the front of the neck, slightly off the midline of the spine, allowing access to the cervical spine. During the procedure, the esophagus is carefully retracted to provide a clear view of the surgical field. The surgeon identifies and protects critical structures such as nerves and arteries while dissecting the soft tissues of the neck to expose the spine. The intervertebral muscles are retracted to reveal the previously implanted artificial disc. If a revision is necessary, it may be due to various factors such as persistent pain, degenerative changes in the disc, or misalignment of the spine at the treated or adjacent disc spaces. The existing artificial disc is meticulously dissected from the end plates and removed. The surgeon assesses the extent of any bone loss or damage to the vertebral bodies to determine if a new disc can be successfully placed. Preparation of the intervertebral space for a new artificial disc involves milling and shaping the end plates above and below the disc space to ensure proper fit. Tension is applied to the vertebral bodies to facilitate the placement of the new artificial disc. Once inserted, the new disc is secured by pressing the surrounding metal plates into the prepared bony end plates, ensuring that the natural curvature of the cervical spine is maintained. After releasing the tension, the vertebral bodies compress the artificial disc, securing it in place. This code is specifically used to report each additional existing artificial disc being removed, following the separately reportable removal of the first disc, and is essential for accurate medical coding and billing in the context of cervical disc revision surgeries.