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See a sample rate comparisonHCPCS L8641 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Metatarsal joint implant
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Implantable Hand and Feet Prosthetics |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L8641 |
National average reimbursement for HCPCS L8641 by major payers:
$393.73
$243.44
$277.66
$425.44
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HCPCS L8641
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,024.74Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$409.58Published rateQuest Diagnostics Incorporated
$212.38Published rateElbert Memorial Hospital
$198.80Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$139.74Published rate
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See a sample payer proposalHCPCS L8641 vs. Other Implantable Hand and Feet Prosthetics Codes
The HCPCS L8641 code is part of the Prosthetic Procedures services used for Implantable Hand and Feet Prosthetics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L8641 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L8631-HCPCS | High | 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) |
| L8641-HCPCS | Moderate | Metatarsal joint implant |
| L8642-HCPCS | Moderate | Hallux implant |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8641. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8641 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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