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CPT 0165T: Revision and Replacement of Lumbar Artificial Disc (Add-On)
CPT code 0165T denotes an add-on surgical procedure for revision and replacement of a lumbar artificial disc in a different interspace performed during the same operative session as an initial lumbar artificial disc repair. This code captures care for patients who experience device movement or damage requiring replacement of an arthroplasty device and is relevant to spine surgeons, hospitals, ambulatory surgery centers, and payers overseeing coverage for lumbar total disc arthroplasty. Nationally, lumbar disc arthroplasty revisions are clinically significant due to device-specific indications, increased resource use, and surgical complexity.
Key payers included in the coverage landscape are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical scenario and service type, typical sites of service, and which payers are commonly involved. The publication provides benchmarking context, policy and coding considerations, and the clinical background necessary to understand when CPT code 0165T applies. Data not available in the input is noted where applicable. The summary equips payers, coding professionals, and clinical leaders with a focused overview of this add-on lumbar arthroplasty revision code and what to expect in billing and utilization discussions.
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Billing Code Overview
CPT code 0165T is an add-on procedure describing revision and replacement of an existing lumbar artificial disc in a different lumbar interspace during the same operative session as an initial lumbar artificial disc repair. The procedure addresses movement or damage of an arthroplasty device and involves replacing a lumbar intervertebral disc with an artificial disc (total disc arthroplasty) to treat conditions such as degenerative disc disease or trauma-related disc damage.
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Service type: Surgical revision and replacement of lumbar total disc arthroplasty (add-on procedure)
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Typical site of service: Hospital inpatient or outpatient surgical setting, or ambulatory surgery center, depending on clinical complexity and payer site rules