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See a sample rate comparisonHCPCS L8686 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Implantable Neurostimulators and Components |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L8686 |
National average reimbursement for HCPCS L8686 by major payers:
$5,281.41
$3,944.38
$3,464.66
$4,156.53
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HCPCS L8686
5 of 25 sample ratesHigher to lower in this preview
William Miller
$24,748.88Published ratePaulding Medical Center, Inc., Wellstar Paulding Hospital
Paulding Medical Center Inc
$4,398.56Published rateThomas Mcmeekin
Academic Alliance In Dermatology, Inc.
$2,725.56Published rateJohn Dortch
Tallahassee Memorial Healthcare Inc
$2,591.10Published rateCharles Pue
Smh Physician Services Inc
$1,718.92Published rate
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See a sample payer proposalHCPCS L8686 vs. Other Implantable Neurostimulators and Components Codes
The HCPCS L8686 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 L8686 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 |
|---|---|---|
| L8685-HCPCS | High | Implantable neurostimulator pulse generator, single array, rechargeable, includes extension |
| L8686-HCPCS | High | Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension |
| L8687-HCPCS | High | Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8686. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8686 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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