2025 HCPCS code L8678
(Active) Effective Date: N/A Prosthetic Procedures - Implantable Neurostimulators and Components L codes Feed
External electrical stimulator supplies for use with an implantable neurostimulator, per month.
Medical necessity must be established for the underlying condition requiring the implantable neurostimulator. The external supplies billed with L8678 are considered medically necessary for the proper function and delivery of therapy from the implanted device.
Report this code per month for the external supplies used with an implantable neurostimulator. These supplies are integral to the function of the implanted device and are necessary for delivering the nerve stimulation therapy.
In simple words: Supplies for an implanted device that helps control pain by stimulating nerves, billed monthly.These could be things like sticky patches that go on the skin and connect to a device under the skin to send electrical pulses to nerves.
External electrical stimulator supplies used with an implantable neurostimulator, reportable per month.An example is disposable, adhesive, surface electrode patches connecting to the pulse transmitter of a neuromodulator system, which alters pain signaling. The patch transmits energy from the pulse transmitter to the implanted lead's receiver to stimulate the target nerve and reduce pain.
Example 1: A patient with chronic back pain has an implanted neurostimulator.The disposable electrode patches that adhere to the skin and transmit the electrical signals need to be replaced monthly. Code L8678 is used for the monthly supply of these patches., A patient with peripheral neuropathy has an implanted neurostimulator to manage their pain.The external transmitter and receiver components that communicate with the implanted device require specific connecting cables.These cables, which are considered external supplies, are reported with L8678 on a monthly basis as they are replaced due to wear and tear., A patient has an implanted neurostimulator for pain management that uses a transcutaneous electrical nerve stimulation (TENS) unit externally. The TENS unit electrodes and lead wires are reported with L8678 each month.
Documentation should include the medical necessity for the implantable neurostimulator, the type of external supplies used (e.g., electrode patches, connecting cables, TENS unit components), and the frequency of replacement (monthly).
** L codes represent orthotics and prosthetics.
- Payment Status: Active
- Specialties:Pain Management, Neurology, Neurosurgery
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital (if supplies are provided during an inpatient stay)