MyMedi-AI

L8693 — Auditory osseointegrated device abutment, any length, replacement only

HCPCS Level II L-code · short descriptor: “Aud osseo dev, abutment”

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.

L8693 Medicare fee schedule (October 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $1822.38 to $1891.40 depending on state and rural status.

Former-CBA payment limits: ceiling $2224.52 · floor $1668.39

StateNon-ruralRural
AL$1877.27—
AR$1877.12—
AZ$1822.38—
CA$1822.38—
CO$1891.40—
CT$1822.38—
DC$1822.38—
DE$1822.38—
FL$1877.27—
GA$1877.27—
IA$1858.02—
ID$1822.38—
IL$1867.13—
IN$1867.13—
KS$1858.02—
KY$1877.27—
LA$1877.12—
MA$1822.38—
MD$1822.38—
ME$1822.38—
MI$1867.13—
MN$1867.13—
MO$1858.02—
MS$1877.27—
MT$1891.40—
NC$1877.27—
ND$1891.40—
NE$1858.02—
NH$1822.38—
NJ$1822.38—
NM$1877.12—
NV$1822.38—
NY$1822.38—
OH$1867.13—
OK$1877.12—
OR$1822.38—
PA$1822.38—
RI$1822.38—
SC$1877.27—
SD$1891.40—
TN$1877.27—
TX$1877.12—
UT$1891.40—
VA$1822.38—
VT$1822.38—
WA$1822.38—
WI$1867.13—
WV$1822.38—
WY$1891.40—
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

Bill L8693 with confidence

Track prior-authorization requests with AI pre-fill and deadline tracking, and draft PA appeal letters — built for DME teams, PHI-free: no patient data is collected or stored.

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, L8693 included, and starter credits via POST /bot-marketplace/register.