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HCPCS L8614 · Level II · orthotic and prosthetic code

L8614: Cochlear device, includes all internal and external components, HCPCS Level II orthotic and prosthetic code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026); Medicare Coverage Database LCD export: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and DMEPOS fee schedule and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for L8614

Medicare payment
$22,998.52 to $24,149.06
DMEPOS non-rural state fees
Coverage code
D
special coverage instructions apply
DME supplier MUE
0
MAI 3
OPPS status
SI N
Items and Services packaged into APC rates
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 1

TL;DR

CMS describes HCPCS L8614, added in 1992, as "Cochlear device, includes all internal and external components". DMEPOS fees for L8614, a PO (prosthetics and orthotics) item, run $22,998.52 in ID, OR, WA to $24,149.06 in AZ, CA, NV (floor $21,276.67, ceiling $28,368.90) in the October 2026 file. Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Clinical: Data); hospital outpatient 2 (MAI 3, Nature of Equipment); DME supplier 0 (MAI 3, CMS Policy). 1 billing and coding article lists L8614 across 7 states: A53708. OPPS status indicator N: Items and Services packaged into APC rates. HCPCS record: BETOS D1F (prosthetic/orthotic devices); pricing indicator 38; type of service P (lump-sum purchase of DME, prosthetics or orthotics). Nearby codes: L8612, L8610, L8619, L8607.

L8614 descriptor and code status

The October 2026 HCPCS Level II file describes L8614 as “Cochlear device, includes all internal and external components”. It sits in the L section (orthotic and prosthetic procedures and devices), listed with the other L codes. Although searches often call it the "L8614 CPT code", L8614 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of L8614
FieldValue
Short descriptorCochlear device
Added to HCPCS1992-01-01
Last actionN (no maintenance), effective 2007-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator38: DMEPOS orthotics, prosthetics, prosthetic devices and vision services (floors and ceilings)
BETOS categoryD1F: prosthetic/orthotic devices
Type of serviceP: lump-sum purchase of DME, prosthetics or orthotics

Medicare payment for L8614

DMEPOS fees for L8614, a PO (prosthetics and orthotics) item, run $22,998.52 in ID, OR, WA to $24,149.06 in AZ, CA, NV (floor $21,276.67, ceiling $28,368.90) in the October 2026 file. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

DMEPOS fee schedule (DME26-D)

Jurisdiction L (local Part B MAC), payment category PO (prosthetics and orthotics). Fees are set per state; AK, HI, PR and VI are not subject to the national ceiling and floor and are listed separately. A rural fee applies only in ZIP codes on the CMS rural ZIP list.

DMEPOS fees for L8614 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
none$21,276.67 / $28,368.90$22,998.52 (ID, OR, WA) to $24,149.06 (AZ, CA, NV)——

Hospital outpatient (OPPS Addendum B)

Status indicator N (Items and Services packaged into APC rates), with no separate OPPS payment rate.

Ambulatory surgical center (Addendum BB)

Payment indicator N1 (Packaged service/item; no separate payment made).

Medically Unlikely Edits for L8614

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Clinical: Data); hospital outpatient 2 (MAI 3, Nature of Equipment); DME supplier 0 (MAI 3, CMS Policy). The DME supplier MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for L8614 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services13 Date of Service Edit: ClinicalClinical: Data
Facility outpatient hospital23 Date of Service Edit: ClinicalNature of Equipment
DME supplier03 Date of Service Edit: ClinicalCMS Policy

The MUE lookup for L8614 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists L8614 in v323r0.

L8614 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check L8614 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for L8614

0 active Local Coverage Determinations and 1 billing and coding article list L8614. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

Billing and Coding Articles listing L8614
ArticleTitleContractor(s)Related LCD
A53708Billing and Coding: External Components for Cochlear ImplantsPalmetto GBA—

Denials to expect on L8614

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists L8614

CARC 151 · N362

units of L8614 exceed the DME supplier MUE of 0 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for L8614 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for L8614 depend on, with human review of each case, and QuickRCM carries claim readiness and the CARC 50, 151 and modifier denials these items draw.

See QuickAuth for requirement checksSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS L8614

What does HCPCS code L8614 describe?

"Cochlear device, includes all internal and external components" (short descriptor "Cochlear device"), in the L section (orthotic and prosthetic procedures and devices). Added 1992-01-01; last action N (no maintenance) effective 2007-01-01.

Is L8614 a CPT code?

No. L8614 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set. Searches for "L8614 CPT code" mean this Level II code.

What does Medicare pay for L8614?

DMEPOS fees for L8614, a PO (prosthetics and orthotics) item, run $22,998.52 in ID, OR, WA to $24,149.06 in AZ, CA, NV (floor $21,276.67, ceiling $28,368.90) in the October 2026 file.

How many units of L8614 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Clinical: Data); hospital outpatient 2 (MAI 3, Nature of Equipment); DME supplier 0 (MAI 3, CMS Policy). For the DME supplier MUE (MAI 3), units above 0 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover L8614?

Coverage code D (special coverage instructions apply). 1 billing and coding article lists L8614 across 7 states: A53708.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.