CPT® Code 22864

The procedure described by CPT® Code 22864 involves the surgical removal of a total disc arthroplasty, commonly referred to as an artificial disc, specifically in the cervical region of the spine. This procedure is performed through an anterior approach, which means that the surgeon accesses the cervical spine from the front of the neck. The operation begins with an incision made just off the midline of the neck, allowing the surgeon to gain access to the cervical interspace where the artificial disc is located. During the procedure, careful attention is given to retract the esophagus to prevent injury and to identify and protect surrounding nerves and arteries. The soft tissues of the neck are meticulously dissected to expose the spine, and the intervertebral muscles are retracted to reveal the artificial disc. The surgeon then dissects the artificial disc from the end plates of the vertebrae and removes it. An important aspect of this procedure is the evaluation of any bone loss or damage to the vertebral bodies that may have occurred. After the artificial disc is successfully removed, the surgeon may perform additional procedures to stabilize the cervical spine, which are separately reportable. In some cases, a temporary drain may be placed to manage any potential fluid accumulation post-surgery.