L8610 — Ocular implant
HCPCS Level II L-code
- 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.
L8610 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $716.57 to $955.43 depending on state and rural status.
Former-CBA payment limits: ceiling $955.43 · floor $716.57
| State | Non-rural | Rural |
|---|---|---|
| AL | $784.19 | — |
| AR | $812.14 | — |
| AZ | $716.57 | — |
| CA | $716.57 | — |
| CO | $955.43 | — |
| CT | $716.57 | — |
| DC | $720.25 | — |
| DE | $720.25 | — |
| FL | $784.19 | — |
| GA | $784.19 | — |
| IA | $716.57 | — |
| ID | $812.14 | — |
| IL | $837.02 | — |
| IN | $837.02 | — |
| KS | $716.57 | — |
| KY | $784.19 | — |
| LA | $812.14 | — |
| MA | $716.57 | — |
| MD | $720.25 | — |
| ME | $716.57 | — |
| MI | $837.02 | — |
| MN | $837.02 | — |
| MO | $716.57 | — |
| MS | $784.19 | — |
| MT | $955.43 | — |
| NC | $784.19 | — |
| ND | $955.43 | — |
| NE | $716.57 | — |
| NH | $716.57 | — |
| NJ | $848.70 | — |
| NM | $812.14 | — |
| NV | $716.57 | — |
| NY | $848.70 | — |
| OH | $837.02 | — |
| OK | $812.14 | — |
| OR | $812.14 | — |
| PA | $720.25 | — |
| RI | $716.57 | — |
| SC | $784.19 | — |
| SD | $955.43 | — |
| TN | $784.19 | — |
| TX | $812.14 | — |
| UT | $955.43 | — |
| VA | $720.25 | — |
| VT | $716.57 | — |
| WA | $812.14 | — |
| WI | $837.02 | — |
| WV | $720.25 | — |
| WY | $955.43 | — |
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
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