MyMedi-AI

L8670 — Vascular graft material, synthetic, implant

HCPCS Level II L-code · short descriptor: “Vascular graft, synthetic”

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.

L8670 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable: $681.49 in all listed states.

Former-CBA payment limits: ceiling $817.79 · floor $613.34

StateNon-ruralRural
AL$681.49—
AR$681.49—
AZ$681.49—
CA$681.49—
CO$681.49—
CT$681.49—
DC$681.49—
DE$681.49—
FL$681.49—
GA$681.49—
IA$681.49—
ID$681.49—
IL$681.49—
IN$681.49—
KS$681.49—
KY$681.49—
LA$681.49—
MA$681.49—
MD$681.49—
ME$681.49—
MI$681.49—
MN$681.49—
MO$681.49—
MS$681.49—
MT$681.49—
NC$681.49—
ND$681.49—
NE$681.49—
NH$681.49—
NJ$681.49—
NM$681.49—
NV$681.49—
NY$681.49—
OH$681.49—
OK$681.49—
OR$681.49—
PA$681.49—
RI$681.49—
SC$681.49—
SD$681.49—
TN$681.49—
TX$681.49—
UT$681.49—
VA$681.49—
VT$681.49—
WA$681.49—
WI$681.49—
WV$681.49—
WY$681.49—
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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