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The procedure described by CPT® Code 0219T involves the placement of a posterior intrafacet implant, which can be performed unilaterally or bilaterally, at a single level in the cervical spine. The facet joints, which are the paired posterior vertebral joints located between adjacent vertebrae, play a crucial role in providing stability and facilitating movement of the spine. These joints can become damaged due to various conditions, leading to nerve compression and resultant back pain. The surgical intervention aims to alleviate these symptoms by stabilizing the affected vertebral segment through the insertion of an implant. This procedure includes the use of imaging guidance to ensure accurate placement of the implant and may involve the use of bone grafts or synthetic devices to enhance stability. The surgical approach requires careful dissection to expose the lamina and the involved nerve root, followed by the placement of the implant between the facets. The procedure is designed to restore function and reduce pain in patients suffering from facet joint-related issues in the cervical region.
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The placement of a posterior intrafacet implant is indicated for patients experiencing symptoms related to facet joint dysfunction, which may include:
The procedure for the placement of a posterior intrafacet implant involves several critical steps:
Post-procedure care involves monitoring the patient for any complications and managing pain effectively. Patients may be advised on activity restrictions to promote healing and prevent strain on the surgical site. Follow-up appointments are essential to assess recovery and the effectiveness of the implant in alleviating symptoms. Rehabilitation may be recommended to restore function and strength in the cervical region.
| Short Descr | PLMT POST FACET IMPLT CERV | Medium Descr | PLMT POST FACET IMPLANT UNI/BI W/IMG & GRFT CERV | Long Descr | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 9 - Other Medical Items or Services | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 164 - Other OR therapeutic procedures on musculoskeletal system |
This is a primary code that can be used with these additional add-on codes.
| 0222T | Addon Code MPFS Status: Carrier Priced APC N Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (List separately in addition to code for primary procedure) |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GZ | Item or service expected to be denied as not reasonable and necessary | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Added | First appearance in code book. |
| 2010-01-01 | Added | Code implemented. |
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