CPT® Code 0163T

Deleted

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (List separately in addition to code for primary procedure)

Total disc arthroplasty refers to a surgical procedure aimed at the complete replacement of a severely damaged or diseased intervertebral disc with an artificial disc. This procedure is particularly relevant for patients suffering from significant disc degeneration or other spinal disorders that compromise the integrity and function of the lumbar spine. The approach taken in this procedure is anterior, meaning that the surgeon accesses the lumbar vertebrae through an incision in the abdomen. This method allows for direct visualization and manipulation of the intervertebral space. The procedure involves not only the placement of the artificial disc but also a discectomy, which is the removal of the damaged disc material to prepare the interspace for the new implant. This code specifically applies to each additional interspace treated beyond the primary procedure, highlighting its use in cases where multiple discs require replacement. The artificial disc typically consists of two metal endplates and a polyethylene insert, designed to mimic the natural function of a healthy disc, allowing for movement and load-bearing capabilities in the spine. The overall goal of total disc arthroplasty is to restore spinal stability, alleviate pain, and improve the patient's quality of life by enabling better mobility and function.