Billing and Coding: Total Joint Arthroplasty

This policy (A56777) provides billing and coding guidance that complements Local Coverage Determination L33456 for total joint arthroplasty. It does not define clinical coverage or medical necessity—those determinations remain in L33456, and providers must follow that LCD and its documentation requirements when submitting claims.

"This article provides billing and coding guidelines only and does not by itself establish medical necessity or coverage; coverage is determined by the referenced Local Coverage Determination L33456."

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