22865 removal tot arthrp 1ntrspc lumbar
Also known as: Lumbar ADIS removal, Lumbar disc arthroplasty removal
Removal of total disc arthroplasty (including endplate preparation), single interspace; lumbar.
In Plain Language
Removal of artificial lumbar disc; Taking out artificial disc
Clinical Context
Used for failed lumbar total disc arthroplasty; removal may be followed by fusion or conservative management.
RVU Breakdown
| Work RVU | 30.96 |
| Total RVU | 30.96 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 30.96, this code ranks in the 93rd percentile among Surgery codes — 3.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 22865?
CPT 22865 (removal tot arthrp 1ntrspc lumbar) is a Surgery code. Removal of total disc arthroplasty (including endplate preparation), single interspace; lumbar.
What is the wRVU value for CPT 22865?
The work RVU for CPT 22865 is 30.96. This code is primarily used by Spine Surgery, Orthopedic Surgery, Neurosurgery. It has a 90-day global period.
When is CPT 22865 used?
Used for failed lumbar total disc arthroplasty; removal may be followed by fusion or conservative management.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.