NUVASIVE HCPCS Level II Resource User Guide
- June 12, 2024
- nuvasive
Table of Contents
NUVASIVE HCPCS Level II Resource User Guide
NuVasive HCPCS Level II Resource Guide 2023
The Healthcare Common Procedure Coding System (HCPCS) is a set of codes that describes products, supplies, or services not included in the Current Procedural Terminology (CPT) coding system. HCPCS codes are five digits, beginning with a letter, followed by four numbers. Each category of HCPCS codes describes a different type of product, service, or supply, such as implants, durable medical equipment, drugs, prosthetics, and other supplies.
NuVasive is often asked for a HCPCS code to describe and bill for our products. While most spine and orthopedic-related products do not have specific HCPCS codes (because the CPT code captures the product), we have outlined below a common list of codes that may be used for each type of product or supply when needed or requested. These are not all-inclusive and are meant to provide examples only. Also, some of NuVasive’s products come packaged in a kit that may not be separately reportable and would be considered incidental to the device itself.
When an item or product does not have a representative HCPCS code, miscellaneous codes can be utilized. When no HCPCS code exists for a facility, revenue code 270 (medical or surgical supplies or both combined) or 272 (sterile supplies) may be used to capture the supply or product.
| HCPCS Code | Description |
|---|---|
| A4649 | Surgical supply; miscellaneous |
| Example | Disposable tools, trial implants, other supplies/items not described |
elsewhere
C1713| Anchor/screw for opposing bone-to-bone or soft tissue-to-bone
(implantable)
Example| Screws, plates, wiring, pins
C1734| Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-
to-bone (implantable)
Example| Tissue or synthetic grafts, nonhuman
C1831| Personalized anterior and lateral interbody cage (implantable)
Example| Cage customized to patient (3D-printed)
C1889| Implantable/insertable device, not otherwise classified
Example| Interbody cages, distraction devices
L8699| Prosthetic implant, not otherwise specified
Example| Depends on carrier discretion, could include joint devices,
prosthetics, and DME
This information is shared for educational purposes only and is based upon information published by the Centers for Medicare and Medicaid Services (CMS) as of January 2023. Upon review of this information, healthcare providers are encouraged to contact their payers directly if they have questions about coding, coverage and/or reimbursement. NuVasive does not assume any responsibility for healthcare provider coding decisions, nor do we recommend codes for specific cases. While codes may exist, this does not guarantee payment. For additional information, please speak with your NuVasive sales professional or contact the NuVasive Coding Hotline at 800-211-0713 or reimbursement@nuvasive.com