Question 1

What is HCPCS code L8678?

Accepted Answer

HCPCS code L8678 is "Ext sply implt neurostim". Electrical stimulator supplies (external) for use with implantable neurostimulator, per month

Question 2

What category is L8678 in?

Accepted Answer

L8678 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L8678?

Accepted Answer

Use L8678 when billing for ext sply implt neurostim. 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

What ICD-10 codes are commonly used with L8678?

Accepted Answer

Common ICD-10 diagnosis codes used with L8678 include: N30.10 (Interstitial cystitis (chronic) without hematuria), N30.11 (Interstitial cystitis (chronic) with hematuria), N32.81 (Overactive bladder), N39.41 (Urge incontinence). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is L8678 covered by Medicare?

Accepted Answer

Coverage for L8678 (Ext sply implt neurostim) 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 6

What documentation is required for L8678?

Accepted Answer

Documentation for L8678 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).