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2025 HCPCS code L8687

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

Refer to HCPCS coding guidelines and specific payer policies for correct coding and billing of neurostimulator procedures. Verify code status with individual payers.

Medical necessity must be established by documenting the patient's chronic intractable pain, failed conservative treatment attempts, and the potential benefits of neurostimulation.

The physician is responsible for surgically implanting the device, programming it, and managing the patient's pain therapy.

IMPORTANT:For a similar non-rechargeable device, use L8688.For other components like leads or external programmers, refer to other L-codes within the L8678-L8689 range.

In simple words: This code refers to a surgically implanted device that helps manage chronic pain by sending electrical signals to the spinal cord. It has two sets of electrodes and a rechargeable battery.

This code represents a rechargeable, implantable neurostimulator pulse generator with a dual 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 treatments undergoes implantation of a dual-array rechargeable neurostimulator., A patient with complex regional pain syndrome receives a rechargeable neurostimulator to target multiple nerve sites., A patient with a previously implanted non-rechargeable neurostimulator undergoes a replacement procedure with a rechargeable model (L8687).

Documentation should include the type of neurostimulator, the location of the implant, the medical necessity for the procedure, and the patient's pain history.

** While sources indicate this code may be replaced or inactive for some payers like Medicare, it might still be valid for others. Always verify code status with the specific payer before billing.Consider using iFrameAI for most accurate and uptodate information.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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