L8047 — Nasal septal prosthesis, provided by a non-physician
HCPCS Level II L-code · short descriptor: “Nasal septal prosthesis”
- Code system
- HCPCS Level II
- Family
- L — Orthotics & prosthetics
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Prosthetics & orthotics
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-26; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-26; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
L8047 Medicare fee schedule (October 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $1561.74 to $1986.37 depending on state and rural status.
Former-CBA payment limits: ceiling $2017.06 · floor $1512.79
| State | Non-rural | Rural |
|---|---|---|
| AK | $1873.29 | — |
| AL | $1661.59 | — |
| AR | $1638.38 | — |
| AZ | $1748.12 | — |
| CA | $1748.12 | — |
| CO | $1596.66 | — |
| CT | $1786.09 | — |
| DC | $1700.95 | — |
| DE | $1700.95 | — |
| FL | $1661.59 | — |
| GA | $1661.59 | — |
| HI | $1793.53 | — |
| IA | $1561.74 | — |
| ID | $1668.54 | — |
| IL | $1694.92 | — |
| IN | $1694.92 | — |
| KS | $1561.74 | — |
| KY | $1661.59 | — |
| LA | $1638.38 | — |
| MA | $1786.09 | — |
| MD | $1700.95 | — |
| ME | $1786.09 | — |
| MI | $1694.92 | — |
| MN | $1694.92 | — |
| MO | $1561.74 | — |
| MS | $1661.59 | — |
| MT | $1596.66 | — |
| NC | $1661.59 | — |
| ND | $1596.66 | — |
| NE | $1561.74 | — |
| NH | $1786.09 | — |
| NJ | $1854.97 | — |
| NM | $1638.38 | — |
| NV | $1748.12 | — |
| NY | $1854.97 | — |
| OH | $1694.92 | — |
| OK | $1638.38 | — |
| OR | $1668.54 | — |
| PA | $1700.95 | — |
| PR | $1572.42 | — |
| RI | $1786.09 | — |
| SC | $1661.59 | — |
| SD | $1596.66 | — |
| TN | $1661.59 | — |
| TX | $1638.38 | — |
| UT | $1596.66 | — |
| VA | $1700.95 | — |
| VI | $1986.37 | — |
| VT | $1786.09 | — |
| WA | $1668.54 | — |
| WI | $1694.92 | — |
| WV | $1700.95 | — |
| WY | $1596.66 | — |
KM Prosthetics & orthotics
Medicare allowable ranges from $1483.65 to $1887.05 depending on state and rural status.
Former-CBA payment limits: ceiling $1916.20 · floor $1437.15
| State | Non-rural | Rural |
|---|---|---|
| AK | $1779.66 | — |
| AL | $1578.51 | — |
| AR | $1556.42 | — |
| AZ | $1660.78 | — |
| CA | $1660.78 | — |
| CO | $1516.82 | — |
| CT | $1696.79 | — |
| DC | $1615.87 | — |
| DE | $1615.87 | — |
| FL | $1578.51 | — |
| GA | $1578.51 | — |
| HI | $1703.84 | — |
| IA | $1483.65 | — |
| ID | $1585.11 | — |
| IL | $1610.18 | — |
| IN | $1610.18 | — |
| KS | $1483.65 | — |
| KY | $1578.51 | — |
| LA | $1556.42 | — |
| MA | $1696.79 | — |
| MD | $1615.87 | — |
| ME | $1696.79 | — |
| MI | $1610.18 | — |
| MN | $1610.18 | — |
| MO | $1483.65 | — |
| MS | $1578.51 | — |
| MT | $1516.82 | — |
| NC | $1578.51 | — |
| ND | $1516.82 | — |
| NE | $1483.65 | — |
| NH | $1696.79 | — |
| NJ | $1762.26 | — |
| NM | $1556.42 | — |
| NV | $1660.78 | — |
| NY | $1762.26 | — |
| OH | $1610.18 | — |
| OK | $1556.42 | — |
| OR | $1585.11 | — |
| PA | $1615.87 | — |
| PR | $1493.81 | — |
| RI | $1696.79 | — |
| SC | $1578.51 | — |
| SD | $1516.82 | — |
| TN | $1578.51 | — |
| TX | $1556.42 | — |
| UT | $1516.82 | — |
| VA | $1615.87 | — |
| VI | $1887.05 | — |
| VT | $1696.79 | — |
| WA | $1585.11 | — |
| WI | $1610.18 | — |
| WV | $1615.87 | — |
| WY | $1516.82 | — |
KN Prosthetics & orthotics
Medicare allowable ranges from $624.71 to $794.57 depending on state and rural status.
Former-CBA payment limits: ceiling $806.83 · floor $605.12
| State | Non-rural | Rural |
|---|---|---|
| AK | $749.34 | — |
| AL | $664.64 | — |
| AR | $655.35 | — |
| AZ | $699.28 | — |
| CA | $699.28 | — |
| CO | $638.68 | — |
| CT | $714.42 | — |
| DC | $680.36 | — |
| DE | $680.36 | — |
| FL | $664.64 | — |
| GA | $664.64 | — |
| HI | $717.42 | — |
| IA | $624.71 | — |
| ID | $667.41 | — |
| IL | $678.00 | — |
| IN | $678.00 | — |
| KS | $624.71 | — |
| KY | $664.64 | — |
| LA | $655.35 | — |
| MA | $714.42 | — |
| MD | $680.36 | — |
| ME | $714.42 | — |
| MI | $678.00 | — |
| MN | $678.00 | — |
| MO | $624.71 | — |
| MS | $664.64 | — |
| MT | $638.68 | — |
| NC | $664.64 | — |
| ND | $638.68 | — |
| NE | $624.71 | — |
| NH | $714.42 | — |
| NJ | $742.01 | — |
| NM | $655.35 | — |
| NV | $699.28 | — |
| NY | $742.01 | — |
| OH | $678.00 | — |
| OK | $655.35 | — |
| OR | $667.41 | — |
| PA | $680.36 | — |
| PR | $628.99 | — |
| RI | $714.42 | — |
| SC | $664.64 | — |
| SD | $638.68 | — |
| TN | $664.64 | — |
| TX | $655.35 | — |
| UT | $638.68 | — |
| VA | $680.36 | — |
| VI | $794.57 | — |
| VT | $714.42 | — |
| WA | $667.41 | — |
| WI | $678.00 | — |
| WV | $680.36 | — |
| WY | $638.68 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps L8047 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related L-codes
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