New CPT Add-on Code Accepted for Second Level of Lumbar Total Disc Replacement Procedures

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WEST CHESTER, PA — Centinel Spine, LLC announced that in an effort to increase the availability of two-level lumbar total disc replacement (TDR) to individuals experiencing degeneration of the intervertebral discs, the American Medical Association (AMA) recently accepted the addition of a new add-on Category I Current Procedural Terminology (CPT®) code for a second level of lumbar TDR. Based on published AMA panel action documentation, the effective date for the new CPT code is January 2023, at which time providers can utilize the code when performing two-level lumbar total disc arthroplasty via an anterior approach.

A specific code for a second-level lumbar total disc replacement was granted after a thorough review and validation that the technology met the criteria for a Category I CPT code. A critical requirement as part of the review process was high-quality published evidence demonstrating the clinical efficacy of two-level lumbar disc replacement procedures. The CPT codes created and maintained by the AMA CPT Editorial Panel are widely used by third-party payors, including Medicare, Medicaid, and commercial health plans.

According to James J. Yue, MD and Morgan Lorio, MD, of the ISASS Coding and Reimbursement Committee, “The International Society for the Advancement of Spine Surgery (ISASS), working in collaboration with regulatory and industry partners, is pleased to announce the successful submission and approval of an AMA Category I CPT code for second-level lumbar disc replacement. The approval is a culmination of more than 25 years of motion-sparing scientific, educational, and regulatory activities of ISASS and its physician and industry partners.”

Centinel Spine’s CEO, Steve Murray, stated, “Approval for a second level-specific CPT code is a critical milestone for lumbar total disc arthroplasty and reimbursement plays such a major role in whether patients have access to life-changing technologies. The leadership work of medical societies that support the process for reimbursement code development for patient access and benefit is essential and very much appreciated.”

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Jack Zigler, MD from the Texas Health Center for Diagnostics and Surgery, Texas Back Institute, Plano, TX said of the new CPT code for second-level TDR, “I am excited for the opportunity to increase patient access to a procedure that has a strong record of success. Patients with two-level lumbar total disc replacements have done remarkably well in long-term follow-up. I have now seen multiple two-level disc replacement patients with over 15-year follow-up who remain positive with their clinical results.”

Centinel Spine states it continues to innovate in the total disc replacement market, with several recent significant prodisc® L system achievements, including FDA approval of two-level lumbar indications, the launch of new Angled Endplates designed to shift the lordotic angle of the lumbar implant to the inferior endplate, a 2021 Orthopedics This Week Spine Technology Award, and continued advancement of clinical evidence supported through a recent long-term safety and effectiveness study presented during the Best Paper session at the North American Spine Society (NASS) 36th Annual Meeting in September 2021.

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