| HCPCS Code: |
L8686 |
| Long Description: |
Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension |
| Short Description: |
Implt nrostm pls gen sng non |
| Pricing Indicator 1: |
00 (Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
|
| Coverage Code: |
I (Not payable by Medicare) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
|
| Berenson-Eggers Type of Service (BETOS) Code: |
D1F (Orthotic devices) |
| Type of Service Code 1: |
P (Lump sum purchase of DME, prosthetics, orthotics) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-01-2006 |
| Action Effective Date: |
01-01-2014 |
| Action Code: |
F (Change in administrative data field of procedure or modifier code) |
