CPT and ICD-9 Codes

Useful Information for the Cervical and/or Lumbar Patient

Diagnostic Codes for Artificial Disc Replacement

(Note: Often multiple ICD-9 (International Classification of Disease - 9) codes and CPT codes are used in submitting cases for remittance.
http://www.icd9data.com is an excellent source of ICD-9 coding information
https://catalog.ama-assn.org is an offering for CPT codes
Coding may have regional variations and is the prerogative of the surgeon)
Possible ICD-9 codes for artificial disc replacement:
721.0 Cervical spondylosis without myelopathy
722.0 Lumbar spondylosis without myelopathy
722.52 Special code for Lumbar degenerative disc disease for Medicare or Medicaid claim
722.71 Interveterbral disc disorder with myelopathy; cervical region
722.72 Interveterbral disc disorder with myelopathy; lumbar region
722.10 May also be appropriate
738.4 Acquired Spondylolithesis (may be used for ADR or fusion)
737.3 Scoliosis and Kyphoscoliosis
737.30 Idiopathic Scoliosis and Kyphoscoliosis

ICD-9-CM Procedure Codes for Artificial Disc Replacement:

Note:ICD-9-CM (Clinical Modifications) is an extention of the ICD-9 code)

84.62 Insertion of total spine prothesis, cervical
84.64 Insertion of total spine prothesis, lumbar

CPT Codes (for treatment) for Artificial Disc Replacement:

22856 - Total disc arthroplasty (artificial disc) anterior approach, including discectomy to prepare interspace (other than for decompression) single interspace: cervical
22857 - Total disc arthroplasty (artificial disc) anterior approach, including discectomy to prepare interspace (other than for decompression) single interspace: lumbar
0090T - for one level cervical ADR (recommended by Synthes)
0091T - for one level lumbar ADR (recommended by Synthes)
0092T - for each additional level of ADR
62290 - for lumbar discography (72295 may also be used)
62291 - for cervical discography (72285 may also be used)
22521 - for AMP vertebroplasty 22521 - for each additional level of AMP vertebroplasty

Possible ICD-9 codes for DSS (Dynamic Stabilization System)

Medicaid and Medicare codes can be used on regular claims
721.42 Spondylosis with myelopathy lumbar region
722.10 Displacement of lumbar intervertebral disc without myelopathy
722.52 Degeneration of lumbar or lumbosacral intervertebral disc
722.73 Intervertebral disc disorder with myelopathy lumbar region
724.02 Spinal stenosis of lumbar region
731.00 Osteoitis deformans without mention of bone tumor
756.11 Congenital spondylolysis lumbosacral region
756.12 Spondylolisthesis congenital
839.20 Closed dislocation lumbar vertebra
839.30 Opened dislocation lumbar vertebra
and there are more.

Possible procedure codes for Paradigm Spine's DSS and other procedures associted with DSS and independent procedures can be

22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with or without lateral transverse technique)
22614 Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment (List separately in addition to code for primary procedure)
22630 Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar
22632 Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional interspace (List separately in addition to code for primary procedure)
22558 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar
22585 Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)
22849 Reinsertion of spinal fixation device
63047 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar
63048 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional segment, cervical, thoracic, or lumbar (List separately in addition to code for primary procedure)
63030 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, including open and endoscopically-assisted approaches; 1 interspace, lumbar
63035 Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, including open and endoscopically-assisted approaches; each additional interspace, cervical or lumbar (List separately in addition to code for primary procedure)
22840 Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure)
22842 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)
22850 Removal of posterior nonsegmental instrumentation (eg, Harrington rod)
22852 Removal of posterior segmental instrumentation