Question 1

What is HCPCS code L8619?

Accepted Answer

HCPCS code L8619 is "Coch imp ext proc/contr rplc". Cochlear implant, external speech processor and controller, integrated system, replacement

Question 2

What category is L8619 in?

Accepted Answer

L8619 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L8619?

Accepted Answer

Use L8619 when billing for coch imp ext proc/contr rplc. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is L8619 covered by Medicare?

Accepted Answer

Coverage for L8619 (Coch imp ext proc/contr rplc) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for L8619?

Accepted Answer

Documentation for L8619 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).