MyMedi-AI

L8614 — Cochlear device, includes all internal and external components

HCPCS Level II L-code · short descriptor: “Cochlear device”

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
Face-to-face & WOPD
Not on the required list
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 2026-10-25; 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 2026-10-25; 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.

L8614 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $22998.52 to $24149.06 depending on state and rural status.

Former-CBA payment limits: ceiling $28368.90 · floor $21276.67

StateNon-ruralRural
AL$23437.87—
AR$23695.45—
AZ$24149.06—
CA$24149.06—
CO$23768.38—
CT$23439.57—
DC$23872.72—
DE$23872.72—
FL$23437.87—
GA$23437.87—
IA$23227.65—
ID$22998.52—
IL$24109.81—
IN$24109.81—
KS$23227.65—
KY$23437.87—
LA$23695.45—
MA$23439.57—
MD$23872.72—
ME$23439.57—
MI$24109.81—
MN$24109.81—
MO$23227.65—
MS$23437.87—
MT$23768.38—
NC$23437.87—
ND$23768.38—
NE$23227.65—
NH$23439.57—
NJ$23460.09—
NM$23695.45—
NV$24149.06—
NY$23460.09—
OH$24109.81—
OK$23695.45—
OR$22998.52—
PA$23872.72—
RI$23439.57—
SC$23437.87—
SD$23768.38—
TN$23437.87—
TX$23695.45—
UT$23768.38—
VA$23872.72—
VT$23439.57—
WA$22998.52—
WI$24109.81—
WV$23872.72—
WY$23768.38—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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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