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CPT 0719T: Lumbar Spine Joint Replacement with Decompression
CPT code 0719T represents an open lumbar spine joint replacement that includes bilateral facetectomy, laminectomy, and radical discectomy, with imaging guidance included. This complex spinal reconstruction and decompression procedure is used for patients with severe degenerative or structural lumbar joint pathology where replacement and extensive decompression are indicated. Nationally, such high-acuity spine procedures have implications for surgical capacity, inpatient bed utilization, and specialty reimbursement pathways.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of how CPT code 0719T is defined clinically, typical sites of service, and the service type. The publication also summarizes available reimbursement benchmarks, common billing modifiers associated with complex spine procedures, and relevant policy considerations affecting coverage and coding practice. Where input data is missing, the publication notes that those specific items are not available in the input.
This summary equips payers, hospital billing teams, and spine specialists with concise context for CPT code 0719T, helping stakeholders locate the code within surgical service lines and prepare for billing and coverage discussions at a national level.
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Billing Code Overview
CPT code 0719T describes a surgical procedure in which the provider replaces a lumbar spine joint and performs associated decompressive procedures. The service includes bilateral facetectomy (removal of the facet joints), laminectomy (removal of the posterior vertebral elements), and radical discectomy (removal of disc material). Imaging guidance is included as part of the coded service.
Service type: Open lumbar spinal joint replacement with decompression and imaging guidance
Typical site of service: Hospital inpatient or hospital outpatient surgical setting