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)
  • Date Added: 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: 7/1/2024