Codes | Number | Description |
CPT | | Code applicable prosthetic |
ICD-9 Procedure | | Code appropriate “Insertion†codes |
ICD-9 Diagnosis | | Code appropriate condition |
HCPCS | L5000–L9999 | Prosthetics code range |
ICD-10-CM(effective 10/1/15) | | Code appropriate condition |
ICD-10-PCS(effective 10/1/15) | | Not applicable. ICD-10-PCS codes are only used for inpatient services. The codes below are for insertion, replacement or supplement procedures that might include prosthetic devices. |
| 09HD0S2, 09HD0S3, 09HE0S2, 09HE0S3 | Surgical, ear, nose & sinus, insertion, hearing device, cochlear prosthesis, code by body part (right or left) and qualifier (single channel or multiple channel) |
| 08RJ3KZ, 08RK3KZ | Surgical, eye, replacement, lens, nonautologous tissue, code by body part (right or left) |
| 08R00JZ, 08R00KZ, 08R03JZ, 08R03KZ, 08R10JZ, 08R10KZ, 08R13JZ, 08R13KZ | Surgical, eye, replacement, eye, code by body part (right or left), approach (open or percutaneous) and device (synthetic substitute or nonautologous tissue) |
| 0HRT0JZ, 0HRT0KZ, 0HRU0JZ, 0HRU0KZ, 0HRV0JZ, 0HRV0KZ | Surgical, breast, replacement, open, code by body part (right, left or bilateral), and device (synthetic substitute or nonautologous tissue) |
| 0VUS0JZ, 0VUS0KZ, 0VUS4JZ, 0VUS4KZ | Surgical, male reproductive system, supplement, penis, code by approach (open or percutaneous endoscopic) and device (synthetic substitute or nonautologous tissue) |
| 0THD0LZ, 0THD3LZ, 0THD4LZ, 0THD7LZ, 0THD8LZ, 0THDXLZ | Surgical, urinary system, insertion, urethral sphincter, code by approach (open, percutaneous, percutaneous endoscopic, via natural or artificial opening, via natural or artificial opening endoscopic, or external) |
| 0RRC0JZ,,0RRC0KZ, 0RRD0JZ, 0RRD0KZ | Surgical, upper joints, replacement, temporomandibular joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0RRE0JZ, 0RRE0KZ, 0RRF0JZ, 0RRF0KZ | Surgical, upper joints, replacement, sternoclavicular joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0RRG0JZ, 0RRG0KZ, 0RRH0JZ, 0RRH0KZ | Surgical, upper joints, replacement, acromioclavicular joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0RRJ0JZ, 0RRJ0KZ, 0RRK0JZ, 0RRK0KZ | Surgical, upper joints, replacement, shoulder joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0RRL0JZ, 0RRL0KZ, 0RRM0JZ, 0RRM0KZ | Surgical, upper joints, replacement, elbow joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0RRN0JZ, 0RRN0KZ, 0RRP0JZ, 0RRP0KZ | Surgical, upper joints, replacement, wrist joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0RRQ0JZ, 0RRQ0KZ, 0RRR0JZ, 0RRR0KZ | Surgical, upper joints, replacement, carpal joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0RRS0JZ, 0RRS0KZ, 0RRT0JZ, 0RRT0KZ | Surgical, upper joints, replacement, metacarpocarpal joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0RRU0JZ, 0RRU0KZ, 0RRV0JZ, 0RRV0KZ | Surgical, upper joints, replacement, metacarpophalangeal joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0RRW0JZ, 0RRW0KZ, 0RRX0JZ, 0RRX0KZ | Surgical, upper joints, replacement, finger, phalangeal joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0SRC0JZ, 0SRC0KZ, 0SRD0JZ, 0SRD0KZ | Surgical, lower joints, replacement, knee joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0SRF0JZ, 0SRF0KZ, 0SRG0JZ, 0SRG0KZ | Surgical, lower joints, replacement, ankle joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0SRH0JZ, 0SRH0KZ, 0SRJ0JZ, 0SRJ0KZ | Surgical, lower joints, replacement, tarsal joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0SRK0JZ, 0SRK0KZ, 0SRL0JZ, 0SRL0KZ | Surgical, lower joints, replacement, metatarsal-tarsal joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0SRM0JZ, 0SRM0KZ, 0SRN0JZ, 0SRN0KZ | Surgical, lower joints, replacement, metatarsal-phalangeal joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0SRP0JZ, 0SRP0KZ, 0SRQ0JZ, 0SRQ0KZ | Surgical, lower joints, replacement, toe phalangeal joint, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0SRT0JZ, 0SRT0KZ, 0SRU0JZ, 0SRU0KZ | Surgical, lower joints, replacement, knee joint, femoral surface, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0SRV0JZ, 0SRV0KZ, 0SRW0JZ, 0SRW0KZ | Surgical, lower joints, replacement, knee joint, tibial surface, open, code by body part (right or left) and device (synthetic substitute or nonautologous tissue) |
| 0SR90KZ, 0SR90J5, 0SR90J6, 0SR90J7, 0SR90J8, 0SR90JZ, 0SRB0KZ, 0SRB0J5, 0SRB0J6, 0SRB0J7, 0SRB0J8, 0SRB0JZ | Surgical, lower joints, replacement, hip joint, open, code by body part (right or left), device (synthetic substitute or nonautologous tissue), and qualifier for the synthetic substitute (metal on polyethylene, metal on metal, ceramic on ceramic, ceramic on polyethylene, no qualifier) |
| 0SRA0KZ, 0SRA0JF, 0SRA0JG, 0SRA0JH, 0SRA0JZ, 0SRE0KZ, 0SRE0JF, 0SRE0JG, 0SRE0JH, 0SRE0JZ | Surgical, lower joints, replacement, hip joint, acetabular surface, open, code by body part (right or left), device (synthetic substitute or nonautologous tissue), and qualifier for the synthetic substitute (metal, ceramic, polyethylene, no qualifier) |
| 0SRR0KZ, 0SRR0JF, 0SRR0JG, 0SRR0JZ, 0SRS0KZ, 0SRS0JF, 0SRS0JG, 0SRS0JZ | Surgical, lower joints, replacement, hip joint, femoral surface, open, code by body part (right or left), device (synthetic substitute or nonautologous tissue), and qualifier for the synthetic substitute (metal, ceramic, polyethylene, no qualifie |