MyMedi-AI

L8679 — Implantable neurostimulator, pulse generator, any type

HCPCS Level II L-code · short descriptor: “Imp neurosti pls gn any type”

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 (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.

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 (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L8679 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $9284.73 to $10551.04 depending on state and rural status.

Former-CBA payment limits: ceiling $12379.64 · floor $9284.73

StateNon-ruralRural
AL$10330.20
AR$10329.20
AZ$10529.94
CA$10529.94
CO$10520.89
CT$10028.19
DC$10069.92
DE$10069.92
FL$10330.20
GA$10330.20
IA$10323.94
ID$10417.43
IL$10551.04
IN$10551.04
KS$10323.94
KY$10330.20
LA$10329.20
MA$10028.19
MD$10069.92
ME$10028.19
MI$10551.04
MN$10551.04
MO$10323.94
MS$10330.20
MT$10520.89
NC$10330.20
ND$10520.89
NE$10323.94
NH$10028.19
NJ$10028.19
NM$10329.20
NV$10529.94
NY$10028.19
OH$10551.04
OK$10329.20
OR$10417.43
PA$10069.92
RI$10028.19
SC$10330.20
SD$10520.89
TN$10330.20
TX$10329.20
UT$10520.89
VA$10069.92
VI$9284.73
VT$10028.19
WA$10417.43
WI$10551.04
WV$10069.92
WY$10520.89
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 L8679 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 check

Prefer DIY compliance? Self-audit documentation kits for DME suppliers →

Building an AI agent? Try the agent API in the playground — free PA-required lookups, L8679 included, and starter credits via POST /bot-marketplace/register.