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HCPCS L8692 · Level II · orthotic and prosthetic code

L8692: Auditory osseointegrated device, external sound processor, used without osseointegration, 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). Next CMS release: January 1, 2027 (quarterly update).

Key facts for L8692

Medicare payment
not separately priced
HCPCS pricing indicator 00 (Part B)
Coverage code
S
non-covered by Medicare statute
Practitioner MUE
0
MAI 3
OPPS status
SI E1
Non-allowed item or service
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

HCPCS Level II L8692 reads "Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment" in the October 2026 file; it dates from 2010. Part B does not price L8692 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 L8692. Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 0 (MAI 3, CMS Policy). L8692 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code S (non-covered by Medicare statute) and any NCD. 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). 3 other active codes open with "Auditory osseointegrated device"; related codes: L8691, L8690, L8694, L8689.

L8692 descriptor and code status

The October 2026 HCPCS Level II file describes L8692 as “Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment”. It sits in the L section (orthotic and prosthetic procedures and devices), listed with the other L codes.

HCPCS file attributes of L8692
FieldValue
Short descriptorNon-osseointegrated snd proc
Added to HCPCS2010-01-01
Last actionN (no maintenance), effective 2010-01-01
Coverage codeS: non-covered by Medicare statute
Pricing indicator00: not separately priced by Part B
BETOS categoryD1F: prosthetic/orthotic devices
Type of serviceP: lump-sum purchase of DME, prosthetics or orthotics
Statute1862(a)(7)

Medicare payment for L8692

Part B does not price L8692 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 L8692. 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 L8692

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

MUE values for L8692 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital03 Date of Service Edit: ClinicalCMS Policy
DME supplier03 Date of Service Edit: ClinicalCMS Policy

The MUE lookup for L8692 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists L8692 in v323r0.

L8692 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 L8692 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for L8692

No current LCD or billing and coding article lists L8692. The HCPCS coverage code S means non-covered by Medicare statute, and any National Coverage Determination for the service still applies.

Denials to expect on L8692

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of L8692 exceed the practitioner 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 L8692 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for L8692 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 L8692

What does HCPCS code L8692 describe?

"Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment" (short descriptor "Non-osseointegrated snd proc"), in the L section (orthotic and prosthetic procedures and devices). Added 2010-01-01.

Is L8692 a CPT code?

No. L8692 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set.

What does Medicare pay for L8692?

Part B does not price L8692 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 L8692.

How many units of L8692 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 0 (MAI 3, CMS Policy). For the practitioner 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 L8692?

L8692 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code S (non-covered by Medicare statute) and any NCD.

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.