CPT Add-on Code Accepted for 2nd Level of Lumbar Disc Replacement

By Julie A. Vetalice

CPT Add-on Code Accepted for 2nd Level of Lumbar Disc Replacement

Centinel Spine announced that in an effort to increase the availability of two-level lumbar total disc replacement (TDR) to individuals experiencing degeneration of the intervertebral discs, the American Medical Association (AMA) has accepted the addition of a new add-on Category I Current Procedural Terminology (CPT®) code for a second level of lumbar TDR. Based on published AMA panel action documentation, the effective date for the new CPT code is January 2023, at which time providers can utilize the code when performing two-level lumbar total disc arthroplasty via an anterior approach.

The AMA has accepted the addition of a new add-on Cat. I CPT® code for a 2nd level of lumbar TDR.

A specific code for a second level lumbar total disc replacement was granted after a thorough review and validation that the technology met the criteria for a Category I CPT code. A critical requirement as part of the review process was high-quality published evidence demonstrating the clinical efficacy of two-level lumbar disc replacement procedures. The CPT codes created and maintained by the AMA CPT Editorial Panel are widely used by third party payors, including Medicare, Medicaid, and commercial health plans.

Centinel Spine's CEO, Steve Murray, said, "Approval for a second level-specific CPT code is a critical milestone for lumbar total disc arthroplasty and reimbursement plays such a major role in whether patients have access to life-changing technologies. The leadership work of medical societies that support the process for reimbursement code development for patient access and benefit is essential and very much appreciated."

Source: Centinel Spine, LLC

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