|
L8630 |
 |
Metacarpophalangeal joint implant
| short | Metacarpophalangeal implant |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8631 |
|
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)
| short | Mcp joint repl 2 pc or more |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8641 |
|
Metatarsal joint implant
| short | Metatarsal joint implant |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8642 |
|
Hallux implant
| short | Hallux implant |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8658 |
|
Interphalangeal joint spacer, silicone or equal, each
| short | Interphalangeal joint spacer |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8659 |
|
Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size
| short | Interphalangeal joint repl |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|