CPT® Code 0562T

Add-On Code

1. Indications

The 3D-printed anatomic guides are indicated for use in various surgical procedures where precise cutting or drilling is required. These indications may include, but are not limited to, the following:

• Osteotomies - Surgical procedures that involve cutting and repositioning bones, particularly in cases where cancer resection is necessary.
• Harvesting Autologous Bone Grafts - Procedures that require the collection of bone from the patient’s own body for use in reconstructive surgery following trauma or disease.

2. Procedure

The procedure for creating a 3D-printed anatomic guide involves several detailed steps to ensure accuracy and effectiveness:

• Step 1: Review of Imaging Data - The process begins with a comprehensive review of previously acquired imaging data to determine its sufficiency for creating an accurate anatomic guide. This step is crucial as it ensures that the guide will be tailored to the specific anatomical features of the patient.
• Step 2: Segmentation of Anatomy - Dedicated segmentation software is utilized to create a computer design file. This software separates the target anatomy from surrounding structures, allowing for a clear digital representation of the area that will be addressed during surgery.
• Step 3: Virtual Surgical Planning - The targeted anatomy is converted into a segmented digital representation, which is then used for virtual surgical planning. During this phase, planned cutting planes are digitally placed in the desired locations to guide the surgical procedure.
• Step 4: Design of the Cutting Guide - All data from the virtual planning is exported to software that designs the cutting guide. This guide is crafted to match the contour of the patient’s anatomy, with cutting openings aligned with the planned surgical planes.
• Step 5: Finalization of the Design File - The finished guide design file is digitally overlaid on the segmented anatomy to ensure accuracy. Each guide is uniquely identified for the patient, which is essential for maintaining proper records and ensuring the correct application during surgery.
• Step 6: 3D Printing - The design file is converted into a format compatible with the 3D printer. The guide is printed using biocompatible and sterilizable materials, ensuring that it is safe for use in a surgical environment.
• Step 7: Post-Printing Review - After printing, the guide is cleaned and reviewed for any specific design considerations before surgery. This step may also include taking photographs for documentation purposes.

3. Post-Procedure

Post-procedure care for the 3D-printed anatomic guides primarily involves ensuring that the guides are properly sterilized and maintained for use during surgery. The guides must be reviewed for any design considerations that may affect their application in the surgical setting. Additionally, documentation, including photographs of the final guide, is essential for record-keeping and compliance purposes. The guides are intended to facilitate precise surgical interventions, and their effectiveness is contingent upon the accuracy of the design and the quality of the imaging data used in their creation.