Spinal implant that preserves vertebral segment motion while secured with screws

This code represents a spinal implant device designed to maintain segmental motion at the treated vertebral level rather than achieving fusion. The device incorporates screw fixation for stabilization while preserving the functional range of motion of the affected spinal segment. It is distinct from traditional fusion hardware in that the clinical intent is motion preservation, not arthrodesis.

Report this code when a motion-preserving vertebral device with screw fixation is implanted during a spinal procedure, most commonly for cervical or lumbar disc disease where the surgeon elects an arthroplasty or dynamic stabilization approach over fusion. Supporting documentation should include operative reports specifying the device type, manufacturer, implant lot/serial numbers, and the clinical rationale for motion preservation over fusion. This code is typically reported per device implanted; confirm whether payer policy requires one unit per level or per component.

• Do not confuse with traditional spinal fusion cage or interbody device codes (e.g., C1713, C1778); the defining characteristic here is the motion-preserving design with screw fixation — verify the device's FDA indication and manufacturer classification before coding.
• Many payers, including Medicare, require the device to appear on the applicable pass-through or fee schedule list; verify coverage status and whether a pass-through payment period applies, as reimbursement pathways differ from standard supply codes.
• Pair with the appropriate CPT procedure code for the surgical approach (e.g., cervical disc arthroplasty or dynamic stabilization), and ensure the operative note explicitly documents the motion-preserving intent to support medical necessity if audited.