HCPCS L8680 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Prosthetic Procedures • Implantable Neurostimulators and Components |
| Complexity Level | Moderate |
National average reimbursement for HCPCS L8680 by major payers:
$294.69
$220.93
$196.32
$400.95
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS L8680 | ||||||
United | L8680 | $234.83 | 1851719900 - ALEXANDER SKOKAN | 912047402 | WA | Urology Physician (208800000X) |
United | L8680 | $250.10 | 1467478750 - STEPHEN COBERT | 911352172 - MULTICARE HEALTH SYSTEM | WA | Otolaryngology Physician (207Y00000X) |
United | L8680 | $150.05 | 1487688073 - MY FAMILY DOCTOR LLC | 571161110 | WA | Multi-Specialty Group (193200000X) |
United | L8680 | $250.10 | 1235610668 - ALEXIS PONG | 910565539 - (WA) VIRGINIA MASON MEDICAL CENTER | WA | Urology Physician (208800000X) |
United | L8680 | $150.05 | 1124340229 - MEMORIAL PHYSICIANS, P.L.L.C., PACIFIC CREST FAMILY MEDICINE | 264379419 - (WA) MEMORIAL PHYSICIANS, PLLC | WA | Multi-Specialty Clinic/Center (261QM1300X) |
United | L8680 | $150.05 | 1285090126 - NEHA BAKHAI | 237100868 - (WA) COUNTRY DOCTOR COMMUNITY CLINIC | MD | Multi-Specialty Group (193200000X) |
United | L8680 | $150.05 | 1083389365 - COLUMBIA BIRTH CARE, LLC | 872090147 - (WA) COLUMBIA BIRTH CARE LLC | WA | Multi-Specialty Group (193200000X) |
United | L8680 | $150.05 | 1912048745 - ALLERGY & ASTHMA CENTER OF SW WASHINGTON LLC, COLUMBIA ASTHMA AND ALLERGY CLINIC | 371428941 - (WA) ALLERGY ASTHMA CENTER OF SW WASHINGTON LLC | WA | Allergy & Immunology Physician (207K00000X) |
United | L8680 | $250.10 | 1003319500 - SEATTLE CHILDREN'S HOSPITAL, SEATTLE CHILDREN'S HOSPITAL | 911336707 - THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS | WA | Multi-Specialty Group (193200000X) |
United | L8680 | $150.05 | 1437457744 - ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS, KENT FOOT & ANKLE CLINIC | 911705274 - (WA) ANKLE & FOOT SPECIALISTS OF PUGET SOUND, P.S. | WA | Multi-Specialty Group (193200000X) |
United | L8680 | $234.83 | 1851719900 - ALEXANDER SKOKAN | 912047402 | WA | Urology Physician (208800000X) |
United | L8680 | $148.86 | 1417032590 - VISION CARE ASSOCIATES PLLC, YELM VISION CLINIC | 205702357 - (WA) VISION CARE ASSOCIATES, PLLC | WA | Multi-Specialty Group (193200000X) |
United | L8680 | $150.05 | 1083977557 - MELANIE CHONG | 910946924 - (WA) NORTHWEST ASTHMA & ALLERGY CENTER | WA | Allergy & Immunology Physician (207K00000X) |
United | L8680 | $392.80 | 1710973839 - SANJEEV JAIN | 342046854 - (CA) COLUMBIA ASTHMA & ALLERGY CLIN | WA | Allergy & Immunology Physician (207K00000X) |
United | L8680 | $150.05 | 1891897468 - STEPHEN KING | 911996643 - (WA) SURGICAL ASSOCIATES NORTHWEST, PC | WA | Urology Physician (208800000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS 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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