CPT® Code 0220T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic

The procedure described by CPT® Code 0220T involves the placement of a posterior intrafacet implant, which can be performed unilaterally or bilaterally, at a single level in the thoracic spine. The facet joints, located between the vertebrae, play a crucial role in providing stability and facilitating movement in the spine. These joints can become damaged due to various conditions, leading to nerve compression and significant back pain. The surgical intervention aims to alleviate these symptoms by stabilizing the affected vertebral segment through the insertion of an implant. The procedure includes imaging guidance to ensure accurate placement and may involve the use of bone grafts or synthetic devices to enhance stability. The surgical approach requires careful dissection to expose the lamina and the involved nerve root, followed by the exploration of the facet joints. The use of implants, such as facet screw systems or locking devices, is integral to the procedure, and additional materials like bone grafts or cement may be utilized to secure the implant effectively. This comprehensive approach addresses both the structural and functional aspects of the facet joints, aiming to restore stability and reduce pain for the patient.