MyMedi-AI

L8690 — Auditory osseointegrated device, includes all internal and external components

HCPCS Level II L-code · short descriptor: “Aud osseo dev, int/ext comp”

Code system
HCPCS Level II
Family
L — Orthotics & prosthetics
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
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.

L8690 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $5717.38 to $6289.09 depending on state and rural status.

Former-CBA payment limits: ceiling $6978.96 · floor $5234.22

StateNon-ruralRural
AK$5717.38—
AL$5889.51—
AR$5888.96—
AZ$5717.38—
CA$5717.38—
CO$5933.87—
CT$5717.38—
DC$5717.38—
DE$5717.38—
FL$5889.51—
GA$5889.51—
HI$5717.38—
IA$5828.98—
ID$5717.38—
IL$5857.74—
IN$5857.74—
KS$5828.98—
KY$5889.51—
LA$5888.96—
MA$5717.38—
MD$5717.38—
ME$5717.38—
MI$5857.74—
MN$5857.74—
MO$5828.98—
MS$5889.51—
MT$5933.87—
NC$5889.51—
ND$5933.87—
NE$5828.98—
NH$5717.38—
NJ$5717.38—
NM$5888.96—
NV$5717.38—
NY$5717.38—
OH$5857.74—
OK$5888.96—
OR$5717.38—
PA$5717.38—
PR$6289.09—
RI$5717.38—
SC$5889.51—
SD$5933.87—
TN$5889.51—
TX$5888.96—
UT$5933.87—
VA$5717.38—
VI$6289.09—
VT$5717.38—
WA$5717.38—
WI$5857.74—
WV$5717.38—
WY$5933.87—
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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