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2025 HCPCS code L8688

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

For Medicare patients, C-codes (e.g., C1767) might be required instead of L8688. Always verify the payer's coding guidelines before billing.

Medical necessity must be established for the use of a neurostimulator. This usually involves documentation of failed conservative treatments and a clear diagnosis justifying the need for the device. Payer-specific guidelines may apply.

This procedure is performed by a qualified healthcare professional, typically a surgeon or pain management specialist. The device is implanted surgically and requires ongoing management by the healthcare team, including battery replacement and programming adjustments.

IMPORTANT:For a single array, non-rechargeable neurostimulator, use L8686. For a dual array, rechargeable neurostimulator, use L8687. For the external recharging system, use L8689.For additional procedures related to neurostimulator programming and analysis, refer to CPT codes such as 95984.

In simple words: This code refers to a surgically implanted device that sends electrical signals to specific nerves to help manage pain. It has two sets of leads and an extension wire. The device has a battery that needs to be changed regularly by a healthcare professional.

This code represents a non-rechargeable implantable neurostimulator pulse generator with a dual array of electrodes and an extension. It is used to deliver electrical impulses to relieve pain. The neurostimulator is powered by a standard battery that needs replacement periodically.

Example 1: A patient with chronic back pain unresponsive to conservative treatments undergoes implantation of a dual-lead neurostimulator (L8688) to target specific nerves in the spine., A patient with complex regional pain syndrome receives a neurostimulator (L8688) to relieve pain in the affected limb., A patient with peripheral neuropathy undergoes implantation of a neurostimulator (L8688) to address pain in the affected nerves.

Documentation should include the diagnosis, medical necessity for the neurostimulator, surgical details, type and location of the implant, and any programming adjustments made. Supporting documentation like imaging and nerve conduction studies can also be helpful.

** While L8688 is a valid HCPCS code, it's not recognized by Medicare and C-codes may be required. Always confirm coding and billing guidelines with individual payers, especially for non-Medicare patients.

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

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