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See a sample rate comparisonHCPCS L8680 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Implantable neurostimulator electrode, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Implantable Neurostimulators and Components |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L8680 |
National average reimbursement for HCPCS L8680 by major payers:
$294.69
$220.93
$196.32
$400.95
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HCPCS L8680
5 of 25 sample ratesHigher to lower in this preview
Timothy Blood
$1,362.59Published rateJj Zhang
Virginia Mason Medical Center
$250.10Published ratePlanned Parenthood Of Greater Washington & North Idaho, Ppgwni Ellensburg Health Center
Planned Parenthood Of Greater Washington And North Idaho
$231.13Published rateAnkle & Foot Specialists Of Puget Sound, Ps, Kent Foot & Ankle Clinic
Ankle & Foot Specialists Of Puget Sound, P.S.
$150.05Published rateVision Care Associates PLLC, Yelm Vision Clinic
Vision Care Associates, PLLC
$148.86Published rate
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See a sample payer proposalHCPCS L8680 vs. Other Implantable Neurostimulators and Components Codes
The HCPCS L8680 code is part of the Prosthetic Procedures services used for Implantable Neurostimulators and Components. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L8680 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L8679-HCPCS | High | Implantable neurostimulator, pulse generator, any type |
| L8680-HCPCS | Moderate | Implantable neurostimulator electrode, each |
| L8681-HCPCS | High | Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8680. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8680 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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