CPT code 22857 represents a lumbar total disc arthroplasty performed at a single interspace using an anterior approach. Nationally, this procedure is a specialized surgical option for selected patients with degenerative disc disease or discogenic pain who are candidates for motion-preserving spine surgery. The code identifies a distinct operative service with implications for surgical planning, device use, and site-of-service considerations.

Key payers commonly covering or adjudicating claims for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for the procedure, typical sites of service, and the payer landscape relevant to coding and billing. The publication summarizes common modifiers and coding considerations, highlights where data is not available in the input, and outlines related procedural groupings for reference.

This analysis is national in scope and useful for coding staff, revenue cycle teams, and policy analysts seeking a concise reference to the clinical intent of CPT code 22857, how it is documented, and what to expect when it appears on a surgical claim. Data not available in the input is noted where applicable.