CPT® Code 22865

The procedure described by CPT® Code 22865 involves the removal of a total disc arthroplasty, which is an artificial disc that has been previously implanted in the lumbar region of the spine. This surgical intervention is performed through an anterior approach, meaning that the incision is made in the front of the abdomen to access the spine. The primary goal of this procedure is to extract the artificial disc from a single interspace in the lumbar area, which may be necessary due to complications such as implant failure, infection, or persistent pain. During the operation, the surgeon makes an incision in the abdominal wall, carefully retracts the surrounding muscles and tissues to gain access to the spinal column, and locates the artificial disc implant. The procedure requires meticulous dissection to free any adhesions or fibrous tissue that may have formed around the implant. Once the implant is adequately exposed, distraction techniques are applied to open the intervertebral space, allowing the surgeon to unseat the artificial disc from its position between the adjacent vertebrae. After the removal of the implant, the surgical site is thoroughly explored and debrided to ensure that any remaining debris or tissue is cleared. Finally, the muscles and tissues are closed in their original position to facilitate proper wound healing.