L8631 HCPCS - METACARPAL PHALANGEAL JOINT REPLACEMENT, TWO OR MORE PIECES, METAL (E.G., STAINLESS STEEL OR COBALT CHROME), CERAMIC-LIKE MATERIAL (E.G., PYROCARBON), FOR SURGICAL IMPLANTATION (ALL SIZES, INCLUDES ENTIRE SYSTEM)

Code Information

HCPCS Code: L8631

Sequence Number: 0010

Short Description: Mcp joint repl 2 pc or more

Long Description: Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)

Code Added Date: 1/1/2004

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2004

Classification: Orthotic/Prosthetic Procedures

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: D1F - Prosthetic/Orthotic devices
Type Of Service Code:
  • P - Lump sum purchase of DME, prosthetics, orthotics

Billing Information

Pricing Indicator Code:
  • 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
    • 2130
    Coverage Code: D - Special coverage instructions apply

    HCPCS Record

    Field Name Field Value
    Healthcare Common Procedure Coding System Code L8631
    HCPCS Sequence Number 0010
    HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
    HCPCS Long Description Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)
    HCPCS Short Description Mcp joint repl 2 pc or more
    HCPCS Pricing Indicator Code 1 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
    HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
    HCPCS Medicare Carriers Manual Reference Section Number 1 2130
    HCPCS Coverage Code D - Special coverage instructions apply
    HCPCS Berenson-Eggers Type Of Service Code D1F - Prosthetic/Orthotic devices
    HCPCS Type Of Service Code 1 P - Lump sum purchase of DME, prosthetics, orthotics
    HCPCS Anesthesia Base Unit Quantity 0
    HCPCS Code Added Date 1/1/2004
    HCPCS Action Effective Date 1/1/2004
    HCPCS Action Code N - No maintenance for this code

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    This page was last updated on: 1/1/2018