Find policies, billing codes, payers, states, and providers
CPT 22862: Revision of Lumbar Total Disk Arthroplasty
CPT code 22862 represents a surgical revision and replacement of a previously implanted lumbar total disk arthroplasty device, performed to treat a degenerated or diseased intervertebral disc and to address device failure or infection. Nationally, this code matters because revisions of spinal arthroplasty carry higher resource use, influence surgical quality metrics, and affect payer coverage policies and utilization management across commercial and public programs.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for lumbar total disk arthroplasty revisions, typical sites of service, and common modifiers used in billing. The publication summarizes benchmarks relevant to utilization and reimbursement, highlights policy considerations that payers commonly apply for coverage and prior authorization, and outlines coding nuances that can affect claims adjudication.
This summary is intended for clinical coders, hospital revenue staff, and policy analysts seeking a national perspective on coding and coverage implications for lumbar total disk arthroplasty revision procedures using CPT code 22862. Data not available in the input are noted where applicable.
Customize your policy alerts
Sign up for cpt 22862 policy alerts
Get alerted when payer policies referencing 22862 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 22862 describes a revision of a prior total disk arthroplasty in the lumbar spine performed to address a degenerated or diseased intervertebral disk. The procedure entails removing or revising a previously implanted total disk replacement device in the lower back and replacing it due to infection, device failure, or other complications necessitating revision.
-
Service type: Surgical revision of lumbar total disk arthroplasty
-
Typical site of service: Inpatient or outpatient hospital setting or ambulatory surgery center, depending on clinical complexity and patient status