HCPCS L8687 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Prosthetic Procedures • Implantable Neurostimulators and Components |
| Complexity Level | High |
National average reimbursement for HCPCS L8687 by major payers:
$10,817.72
$8,043.86
$7,188.23
$8,476.30
| 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 L8687 | ||||||
United | L8687 | $5680.45 | 1205043239 - ALINE HYATT | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Physical Therapist (225100000X) |
United | L8687 | $5680.45 | 1871703488 - JASON NEMITZ | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Orthopaedic Foot and Ankle Surgery Physician (207XX0004X) |
United | L8687 | $5547.83 | 1710992433 - HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE, JEFFERSON HOSPITAL | 581309961 - (GA) HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE | GA | General Acute Care Hospital (282N00000X) |
United | L8687 | $5680.45 | 1386202117 - MELISSA PRATT | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Nurse Practitioner (363L00000X) |
United | L8687 | $5680.45 | 1609289099 - JEFFREY ENGORN | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Orthopaedic Surgery Physician (207X00000X) |
United | L8687 | $5558.95 | 1508900101 - MICHAEL KOCH | 208418894 - (GA) PATHOLOGY LAB OF GEORGIA LLC | GA | General Acute Care Hospital (282N00000X) |
United | L8687 | $24275.94 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | L8687 | $5680.45 | 1427586577 - TILIA GONZALEZ | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Surgical Physician Assistant (363AS0400X) |
United | L8687 | $8971.08 | 1861478851 - CLINCH COUNTY HOSPITAL AUTHORITY | 586011853 - (GA) CLINCH COUNTY HOSPITAL AUTHORITY | GA | Critical Access Hospital (282NC0060X) |
United | L8687 | $5680.45 | 1275868374 - DEBRA DEAN | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Surgical Physician Assistant (363AS0400X) |
United | L8687 | $5680.45 | 1841293065 - P RICHARDS | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Orthopaedic Hand Surgery Physician (207XS0106X) |
United | L8687 | $8971.08 | 1760452098 - HOSPITAL AUTHORITY OF JENKINS COUNTY | 273100894 | GA | Critical Access Hospital (282NC0060X) |
United | L8687 | $5680.45 | 1467455683 - JEREMY SCHWARTZ | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Orthopaedic Foot and Ankle Surgery Physician (207XX0004X) |
United | L8687 | $5680.45 | 1821722919 - STERLING JEFFRIES | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | TX | Multi-Specialty Group (193200000X) |
United | L8687 | $5680.45 | 1720365547 - ALISON RIDGWAY | 651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA | FL | Physician Assistant (363A00000X) |
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 L8687 vs. Other Implantable Neurostimulators and Components Codes
The HCPCS L8687 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 L8687 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 |
|---|---|---|
| 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 |
| L8688-HCPCS | High | Implantable neurostimulator pulse generator, dual array, non-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 L8687. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8687 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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