HCPCS L8688 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 L8688 by major payers:
$6,814.20
$5,133.87
$5,127.62
$5,810.85
| 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 L8688 | ||||||
United | L8688 | $6124.43 | 1730187899 - SPOKANE EYE CLINIC INC, PS | 910852217 - (WA) SPOKANE EYE CLINIC PS | WA | Multi-Specialty Clinic/Center (261QM1300X) |
United | L8688 | $3547.10 | 1851352348 - INLAND IMAGING LLC | 911855796 - (WA) INLAND IMAGING LLC | WA | Multi-Specialty Group (193200000X) |
United | L8688 | $8902.51 | 1801098405 - ROBIN LEE | 911683971 - (WA) UROLOGIC CONSULTANTS, PLLC | WA | Urology Physician (208800000X) |
United | L8688 | $5911.83 | 1962625582 - COLUMBIA CAPITAL MEDICAL CENTER LP, CAPITAL MEDICAL CENTER | 273578184 | WA | Multi-Specialty Group (193200000X) |
United | L8688 | $5886.27 | 1871988063 - SHARAT RAJU | 910369070 - (WA) THE POLYCLINIC, PLLC | WA | Otolaryngology Physician (207Y00000X) |
United | L8688 | $3547.10 | 1629202627 - PRIYAN PERERA | 834642443 - (WA) PRIYAN PERERA MD PLLC | WA | Multi-Specialty Group (193200000X) |
United | L8688 | $9107.05 | 1669719688 - WENATCHEE VALLEY HOSPITAL | 455563741 - WENATCHEE VALLEY HOSPITAL | WA | Multi-Specialty Clinic/Center (261QM1300X) |
United | L8688 | $5551.06 | 1922505643 - NATALIE DERISE | 911336707 - THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS | WA | Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X) |
United | L8688 | $3547.10 | 1578272712 - TULALIP TRIBES OF WASHINGTON QUIL CEDA CREEK COUNSELING, QUIL CEDA CREEK COUNSELING COMPANY | 862144408 - (WA) TULALIP TRIBES OF WASHINGTON QUIL CEDA CREEK COUNSELING | WA | Multi-Specialty Group (193200000X) |
United | L8688 | $5911.83 | 1841315744 - EASTSIDE CARDIOLOGY ASSOC | 910844563 | WA | Multi-Specialty Group (193200000X) |
United | L8688 | $3519.06 | 1821379538 - THE AESTHETIC SURGERY CENTRE, PLLC, CEDAR LASER AND SURGERY CENTER | 900210545 - (WA) AESTHETIC SURGERY CENTRE, PLLC | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | L8688 | $3540.01 | 1356055016 - BELUGA HEALTH PC | 921535934 - BELUGA HEALTH PC | WA | Multi-Specialty Clinic/Center (261QM1300X) |
United | L8688 | $5551.06 | 1346700986 - JASON KOWITZ | 912073120 | WA | Urology Physician (208800000X) |
United | L8688 | $3547.10 | 1043706583 - HEALTHY SCHOOLS WASHINGTON, PLLC | 831094947 - (WA) HEALTHY SCHOOLS WASHINGTON PLLC | WA | Multi-Specialty Group (193200000X) |
United | L8688 | $9512.92 | 1285884585 - WA SPOK VH CRNA LLC | 263301714 - (WA) WA SPOK VH CRNA LLC | WA | Multi-Specialty Group (193200000X) |
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 L8688 vs. Other Implantable Neurostimulators and Components Codes
The HCPCS L8688 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 L8688 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 |
|---|---|---|
| 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 |
| L8689-HCPCS | High | External recharging system for battery (internal) for use with implantable neurostimulator, 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 L8688. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8688 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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