2025 HCPCS code L8689
(Active) Effective Date: N/A Revision Date: N/A Medical Devices - Neurostimulators Orthotics and Prosthetics Feed
Replacement of an external recharging system for an implantable neurostimulator with an internal rechargeable battery.
Modifiers may apply depending on the circumstances of the replacement, such as the type of service provided or the location of service. Consult the specific payer's guidelines for applicable modifiers.
The replacement of the external recharging system is medically necessary when the existing system fails to function properly, preventing the proper recharging of the implanted neurostimulator's internal battery. This failure renders the device ineffective for managing the patient's condition.
Neurologist, Neurosurgeon, or other qualified healthcare professional involved in the management of the patient's neurostimulator.
In simple words: This code covers replacing the device that recharges the battery inside a device implanted to help with nerve pain or muscle control.It's only used if the old recharger is broken and needs replacing.
HCPCS code L8689 represents the replacement of an external recharging system specifically designed for an implantable neurostimulator that utilizes an internal rechargeable battery.This code is applicable only when the existing recharging system is malfunctioning and replacement is medically necessary. The code does not encompass the initial provision of the recharging system or components, nor does it include any services related to the implantation or programming of the neurostimulator itself.It solely covers the replacement of the external recharging unit.
Example 1: A patient with chronic back pain has an implanted neurostimulator with a rechargeable battery. The external recharging system malfunctions, preventing the battery from recharging.Code L8689 is used to bill for the replacement of the external recharging system., A patient with Parkinson's disease has an implanted neurostimulator. The external recharging system is damaged due to accidental damage, rendering it unusable. Code L8689 is used to bill for the replacement of the external recharging unit., A patient's implanted neurostimulator's external recharging system fails intermittently.After troubleshooting and attempts to repair the existing system are unsuccessful, the physician orders replacement.Code L8689 applies.
* Physician's order for the replacement of the external recharging system.* Documentation supporting the malfunction of the existing recharging system (e.g., patient report, technical assessment).* Confirmation that the existing system cannot be repaired.* Documentation of the type and model of the neurostimulator and recharging system.
** This code is specific to the replacement of the external recharging system.It does not include the cost of the internal battery or the neurostimulator itself.
- Payment Status: Active
- Modifier TC rule: Not applicable. This code covers the supply of the replacement recharging system, not a technical component.
- Specialties:Neurology, Neurosurgery
- Place of Service:Office, Hospital Outpatient, Ambulatory Surgical Center