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BETA v.3.0

2025 HCPCS code L8685

Implantable neurostimulator pulse generator, single array, rechargeable, includes extension.

Use L8685 for the implantable pulse generator itself. Report electrode placement separately using L8680. Ensure documentation clearly states the device's specifications and the reason for its use.

Medical necessity must be established for the use of L8685. This typically involves demonstrating that the patient has chronic intractable pain that has not responded to other treatment modalities. Supporting documentation, including diagnostic tests and clinical evaluations, must be provided.

The provider implants leads in the epidural space of the spinal cord or to peripheral nerves and connects them to the neurostimulator. This device targets specific sites and receives power from a rechargeable lithium battery.

IMPORTANT:For a similar but non-rechargeable device, use L8686. For electrodes, use L8680.For external supplies, use L8678. For dual-array pulse generators, see L8687 (rechargeable) and L8688 (non-rechargeable).

In simple words: This is a type of implantable device that helps relieve pain by sending electrical signals to the nerves in your spinal cord or other parts of your body. It has a battery that can be recharged.

This code represents a rechargeable, implantable neurostimulator pulse generator with a single array of electrodes, including an extension. It's used for pain relief by delivering electrical impulses to the spinal cord or peripheral nerves. The system is powered by a rechargeable lithium battery.

Example 1: A patient with chronic back pain unresponsive to conservative treatment undergoes implantation of a single-array rechargeable neurostimulator (L8685) to manage their pain., A patient with complex regional pain syndrome receives an L8685 neurostimulator to target specific peripheral nerves and alleviate their symptoms., Following a failed back surgery syndrome, a patient receives an L8685 to control persistent pain.

Documentation should include the medical necessity for the device, the patient's pain history, previous treatments, and the location of the implant. The type of neurostimulator (single array, rechargeable) should be clearly specified.

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