MyMedi-AI

L8617 — Transmitting coil for use with cochlear implant device, replacement

HCPCS Level II L-code · short descriptor: “Coch implant trans coil repl”

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.

L8617 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $110.27 to $114.43 depending on state and rural status.

Former-CBA payment limits: ceiling $134.61 · floor $100.96

StateNon-ruralRural
AL$113.64—
AR$113.62—
AZ$110.27—
CA$110.27—
CO$114.43—
CT$110.27—
DC$110.27—
DE$110.27—
FL$113.64—
GA$113.64—
IA$112.41—
ID$110.27—
IL$112.98—
IN$112.98—
KS$112.41—
KY$113.64—
LA$113.62—
MA$110.27—
MD$110.27—
ME$110.27—
MI$112.98—
MN$112.98—
MO$112.41—
MS$113.64—
MT$114.43—
NC$113.64—
ND$114.43—
NE$112.41—
NH$110.27—
NJ$110.27—
NM$113.62—
NV$110.27—
NY$110.27—
OH$112.98—
OK$113.62—
OR$110.27—
PA$110.27—
RI$110.27—
SC$113.64—
SD$114.43—
TN$113.64—
TX$113.62—
UT$114.43—
VA$110.27—
VT$110.27—
WA$110.27—
WI$112.98—
WV$110.27—
WY$114.43—
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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