L8606 — Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies
HCPCS Level II L-code · short descriptor: “Synthetic implnt urinary 1ml”
- Code system
- HCPCS Level II
- Family
- L — Orthotics & prosthetics
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Prosthetics & orthotics
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
L8606 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $252.88 to $281.84 depending on state and rural status.
Former-CBA payment limits: ceiling $322.77 · floor $242.08
| State | Non-rural | Rural |
|---|---|---|
| AL | $281.84 | — |
| AR | $269.39 | — |
| AZ | $278.74 | — |
| CA | $278.74 | — |
| CO | $270.16 | — |
| CT | $263.47 | — |
| DC | $266.86 | — |
| DE | $266.86 | — |
| FL | $281.84 | — |
| GA | $281.84 | — |
| IA | $268.67 | — |
| ID | $273.45 | — |
| IL | $252.88 | — |
| IN | $252.88 | — |
| KS | $268.67 | — |
| KY | $281.84 | — |
| LA | $269.39 | — |
| MA | $263.47 | — |
| MD | $266.86 | — |
| ME | $263.47 | — |
| MI | $252.88 | — |
| MN | $252.88 | — |
| MO | $268.67 | — |
| MS | $281.84 | — |
| MT | $270.16 | — |
| NC | $281.84 | — |
| ND | $270.16 | — |
| NE | $268.67 | — |
| NH | $263.47 | — |
| NJ | $263.29 | — |
| NM | $269.39 | — |
| NV | $278.74 | — |
| NY | $263.29 | — |
| OH | $252.88 | — |
| OK | $269.39 | — |
| OR | $273.45 | — |
| PA | $266.86 | — |
| RI | $263.47 | — |
| SC | $281.84 | — |
| SD | $270.16 | — |
| TN | $281.84 | — |
| TX | $269.39 | — |
| UT | $270.16 | — |
| VA | $266.86 | — |
| VT | $263.47 | — |
| WA | $273.45 | — |
| WI | $252.88 | — |
| WV | $266.86 | — |
| WY | $270.16 | — |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%.
A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area
adjustments and non-continental rates can differ — verify with your DME MAC.
Common denial codes to watch
Related L-codes
Bill L8606 with confidence
MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →