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HCPCS L8680 · Level II · orthotic and prosthetic code

L8680: Implantable neurostimulator electrode, each, 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); 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 NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for L8680

Medicare payment
not separately priced
HCPCS pricing indicator 00 (Part B)
Coverage code
I
not payable by Medicare
Facility outpatient MUE
0
MAI 3
OPPS status
SI E1
Non-allowed item or service
NCCI PTP pairs
0
practitioner file
LCDs and articles
1 / 3

TL;DR

HCPCS Level II L8680 reads "Implantable neurostimulator electrode, each" in the October 2026 file; it dates from 2006. Part B does not price L8680 separately: the HCPCS file gives it pricing indicator 00. None of the October 2026 PFS, DMEPOS, CLFS, OPPS or ASC files lists a national amount for L8680. Its 2026 Q4 MUEs per date of service: hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 0 (MAI 3, CMS Policy). 1 active LCD and 3 billing and coding articles list L8680 across 12 states: L37632 (Spinal Cord Stimulators for Chronic Pain), A53359, A55835. OPPS status indicator E1: Non-allowed item or service. HCPCS record: BETOS D1F (prosthetic/orthotic devices); pricing indicator 00; type of service P (lump-sum purchase of DME, prosthetics or orthotics). Nearby codes: L8679, L8681, L8683, L8689.

L8680 descriptor and code status

The October 2026 HCPCS Level II file describes L8680 as “Implantable neurostimulator electrode, each”. It sits in the L section (orthotic and prosthetic procedures and devices), listed with the other L codes. Although searches often call it the "L8680 CPT code", L8680 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 L8680
FieldValue
Short descriptorImplt neurostim elctr each
Added to HCPCS2006-01-01
Last actionN (no maintenance), effective 2014-04-01
Coverage codeI: not payable by Medicare
Pricing indicator00: not separately priced by Part B
BETOS categoryD1F: prosthetic/orthotic devices
Type of serviceP: lump-sum purchase of DME, prosthetics or orthotics

Medicare payment for L8680

Part B does not price L8680 separately: the HCPCS file gives it pricing indicator 00. None of the October 2026 PFS, DMEPOS, CLFS, OPPS or ASC files lists a national amount for L8680. 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.

Hospital outpatient (OPPS Addendum B)

Status indicator E1 (Non-allowed item or service), with no separate OPPS payment rate.

Medically Unlikely Edits for L8680

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

MUE values for L8680 by setting
SettingMUE (units/DOS)MAICMS rationale
Facility outpatient hospital03 Date of Service Edit: ClinicalCMS Policy
DME supplier03 Date of Service Edit: ClinicalCMS Policy

The MUE lookup for L8680 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists L8680 in v323r0.

L8680 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 L8680 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for L8680

1 active Local Coverage Determination and 3 billing and coding articles list L8680. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

  • L37632 Spinal Cord Stimulators for Chronic Pain · Palmetto GBA
Billing and Coding Articles listing L8680
ArticleTitleContractor(s)Related LCD
A53359Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal IncontinenceNoridian Healthcare Solutions, LLC—
A55835Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal IncontinenceCGS Administrators, LLC—
A56876Billing and Coding: Spinal Cord Stimulators for Chronic PainPalmetto GBAL37632

Denials to expect on L8680

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists L8680

CARC 151 · N362

units of L8680 exceed the facility outpatient 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 L8680 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for L8680 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS L8680

What does HCPCS code L8680 describe?

"Implantable neurostimulator electrode, each" (short descriptor "Implt neurostim elctr each"), in the L section (orthotic and prosthetic procedures and devices). Added 2006-01-01; last action N (no maintenance) effective 2014-04-01.

Is L8680 a CPT code?

No. L8680 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set. Searches for "L8680 CPT code" mean this Level II code.

What does Medicare pay for L8680?

Part B does not price L8680 separately: the HCPCS file gives it pricing indicator 00. None of the October 2026 PFS, DMEPOS, CLFS, OPPS or ASC files lists a national amount for L8680.

How many units of L8680 can be billed per day?

Its 2026 Q4 MUEs per date of service: hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 0 (MAI 3, CMS Policy). For the facility outpatient 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 L8680?

Coverage code I (not payable by Medicare). 1 active LCD and 3 billing and coding articles list L8680 across 12 states: L37632 (Spinal Cord Stimulators for Chronic Pain), A53359, A55835.

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.