Question 1

What is HCPCS code L8696?

Accepted Answer

HCPCS code L8696 is "Ext antenna phren nerve stim". Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each

Question 2

What category is L8696 in?

Accepted Answer

L8696 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L8696?

Accepted Answer

Use L8696 when billing for ext antenna phren nerve stim. 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 L8696 covered by Medicare?

Accepted Answer

Coverage for L8696 (Ext antenna phren nerve stim) 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 L8696?

Accepted Answer

Documentation for L8696 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).