Overview of CPT Code 22855: Insertion of intervertebral biomechanical device
CPT Code 22855 refers to the surgical procedure involving the insertion of an intervertebral biomechanical device, which is used to stabilize the spine and alleviate pain caused by degenerative disc disease or spinal instability.
When CPT Code 22855 is Used?
This procedure is indicated in specific clinical scenarios.
- Severe degenerative disc disease causing significant pain and disability.
- Spinal instability due to trauma or degenerative conditions.
- Failed conservative treatment options for back pain.
- Need for spinal stabilization in conjunction with other spinal surgeries.
Symptoms Indicating This Procedure
Patients may report various symptoms that lead to the consideration of this procedure.
- Chronic lower back pain that does not improve with conservative treatments.
- Radiating pain into the legs or arms.
- Numbness or weakness in the extremities.
- Difficulty with mobility or performing daily activities.
Causes and Risk Factors
Understanding the underlying causes and risk factors is crucial for prevention.
- Age-related degeneration of spinal discs.
- Previous spinal injuries or trauma.
- Genetic predisposition to spinal disorders.
- Obesity and sedentary lifestyle contributing to spinal stress.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to assess the need for this procedure.
- MRI or CT scans to visualize spinal structures and assess disc health.
- X-rays to evaluate spinal alignment and stability.
- Electromyography (EMG) to assess nerve function.
- Physical examinations to evaluate symptoms and mobility.
Procedure Description
The procedure involves several key steps to ensure successful implantation.
- Administer anesthesia to ensure patient comfort.
- Make an incision in the back to access the affected vertebrae.
- Remove any damaged disc material and prepare the space for the device.
- Insert the intervertebral biomechanical device into the disc space.
- Secure the device and close the incision with sutures.
Preparation for the Procedure
Proper preparation is essential for a successful outcome.
- Discuss medical history and medications with the surgeon.
- Avoid blood thinners and certain medications as advised.
- Arrange for transportation to and from the procedure.
- Follow pre-operative fasting instructions.
Recovery and Aftercare
Post-operative care is vital for recovery.
- Expect a recovery period of several weeks to months.
- Follow wound care instructions to prevent infection.
- Take prescribed pain medications as needed.
- Engage in physical therapy as recommended to regain strength.
Possible Complications
As with any surgical procedure, there are potential risks involved.
- Infection at the surgical site.
- Nerve damage leading to weakness or numbness.
- Device failure or displacement.
- Chronic pain or discomfort post-surgery.
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Post-Procedure Follow-Up
Regular follow-up is important to monitor recovery.
- Initial follow-up within 1-2 weeks post-surgery.
- Subsequent visits at 1 month, 3 months, and 6 months.
- Ongoing assessment of pain levels and mobility.
- Imaging studies as needed to evaluate device placement.
Alternative Treatments
There are non-surgical options available for managing symptoms.
- Physical therapy to strengthen back muscles.
- Chiropractic care for spinal alignment.
- Pain management techniques including injections.
- Medications such as NSAIDs for pain relief.
Home Care Tips
Patients can take steps at home to aid recovery.
- Follow a prescribed exercise regimen to improve mobility.
- Apply ice or heat to the surgical area as needed.
- Maintain a healthy diet to support healing.
- Avoid heavy lifting and strenuous activities during recovery.
Patient Education & Prevention
Education is key to preventing future issues.
- Maintain a healthy weight to reduce spinal stress.
- Engage in regular exercise to strengthen back muscles.
- Practice good posture to support spinal health.
- Avoid smoking, which can impair healing and worsen spinal conditions.
Billing and Coding Information
CPT Code: 22855
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- LT - Left side
- RT - Right side
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $15,000 to $30,000.
- Insurance may cover the procedure if deemed medically necessary.
- Out-of-pocket costs depend on the patient's insurance plan.
Related CPT Codes
Frequently Asked Questions (FAQs)
What is an intervertebral biomechanical device?
It is a device implanted in the spine to stabilize vertebrae and alleviate pain.
How long is the recovery period?
Recovery typically takes several weeks to months, depending on individual healing.
Will I need physical therapy after the procedure?
Yes, physical therapy is often recommended to aid recovery and improve mobility.
Are there risks associated with this procedure?
Yes, potential risks include infection, nerve damage, and device failure.
