Question 1

What is HCPCS code L8698?

Accepted Answer

HCPCS code L8698 is "Misc used with tot art heart". Miscellaneous component, supply or accessory for use with total artificial heart system

Question 2

What category is L8698 in?

Accepted Answer

L8698 belongs to HCPCS Category L (Orthotics and Prosthetics).

Question 3

When should I use HCPCS code L8698?

Accepted Answer

Use L8698 when billing for misc used with tot art heart. 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 L8698 covered by Medicare?

Accepted Answer

Coverage for L8698 (Misc used with tot art heart) 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 L8698?

Accepted Answer

Documentation for L8698 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).