CPT code 22860 covers an anterior approach total disc arthroplasty performed on a second lumbar interspace during the same operative session as a primary arthroplasty. This code matters nationally because lumbar total disc replacement is a specialized spinal procedure with implications for surgical planning, device utilization, and payer policy on concurrent-level arthroplasty services. Coverage and payment policies for concurrent spine arthroplasty can affect access to multi-level surgical care and hospital resource use.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise briefing on the clinical service and typical sites of care, an outline of common billing modifiers associated with spinal arthroplasty claims, and national benchmarking context where available. The report summarizes how CPT code 22860 is used in multi-level lumbar arthroplasty cases and highlights areas where payers commonly apply medical review or payment bundling.

This publication provides clinical context for coders and billing managers, practical notes on claim configuration for concurrent-level lumbar arthroplasty, and a policy-oriented summary of payer approaches and coverage considerations at the national level. Data not available in the input is noted where applicable.