Question 1

What is HCPCS code L8681?

Accepted Answer

HCPCS code L8681 is "Pt prgrm for implt neurostim". Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only

Question 2

What category is L8681 in?

Accepted Answer

L8681 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L8681?

Accepted Answer

Use L8681 when billing for pt prgrm for 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

Is L8681 covered by Medicare?

Accepted Answer

Coverage for L8681 (Pt prgrm for 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 5

What documentation is required for L8681?

Accepted Answer

Documentation for L8681 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).