HCPCS L8693 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 • Miscellaneous Orthotic and Prosthetic Services and Supplies |
| Complexity Level | High |
National average reimbursement for HCPCS L8693 by major payers:
$1,512.09
$1,002.16
$1,104.06
$2,179.90
| 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 L8693 | ||||||
United | L8693 | $612.11 | 1750465472 - BETH ANDERSEN | 820545759 - (TN) UNIVERSITY PEDIATRIC UROLOGY, P.C. | WA | Urology Physician (208800000X) |
United | L8693 | $1360.04 | 1407808587 - MULTICARE HEALTH SYSTEM, NORTH SHORE MULTICARE CLINIC | 911352172 - MULTICARE HEALTH SYSTEM | WA | Multi-Specialty Group (193200000X) |
United | L8693 | $1360.04 | 1235405192 - JONATHAN WINGATE | 911220843 - ASSOCIATION OF UNIVERSITY PHYSICIANS | WA | Urology Physician (208800000X) |
United | L8693 | $1360.04 | 1730235680 - ALLEN HILLEL | 911220843 - ASSOCIATION OF UNIVERSITY PHYSICIANS | WA | Otolaryngology Physician (207Y00000X) |
United | L8693 | $1341.32 | 1225457773 - CAMPBELL BRYSON | 910843135 | WA | Urology Physician (208800000X) |
United | L8693 | $1360.04 | 1326584673 - PROLIANCE SURGEONS, INC., P.S., NORTHWEST WOMEN'S HEALTHCARE | 911606533 - (WA) PROLIANCE SURGEONS, INC., P.S. | WA | Multi-Specialty Group (193200000X) |
United | L8693 | $1360.04 | 1679689145 - GREG DAVIS | 911606533 - (WA) PROLIANCE SURGEONS, INC., P.S. | WA | Otolaryngology Physician (207Y00000X) |
United | L8693 | $1360.04 | 1407274905 - JESSICA DAI | 910844563 | WA | Urology Physician (208800000X) |
United | L8693 | $816.02 | 1225251465 - EYECARE PARTNERS, PLLC, ARBOR EYECARE | 753021696 - (WA) EYECARE PARTNERS PLLC | WA | Multi-Specialty Group (193200000X) |
United | L8693 | $776.52 | 1679193205 - SOUND VASCULAR, P.S., SOUND VASCULAR ASC | 271920479 - (WA) SOUND VASCULAR P.S. | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | L8693 | $1360.04 | 1437181948 - ANDREW DECK | 910369070 - (WA) THE POLYCLINIC, PLLC | WA | Urology Physician (208800000X) |
United | L8693 | $2180.97 | 1710973839 - SANJEEV JAIN | 942618943 - (CA) COMPREHENSIVE ALLERGY SERVICES MEDICAL CLINIC, INC. | WA | Allergy & Immunology Physician (207K00000X) |
United | L8693 | $1556.86 | 1033377064 - DAVID HORN | 911336707 - THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS | WA | Otolaryngology Physician (207Y00000X) |
United | L8693 | $1556.86 | 1942202635 - TERRY WIGLEY | 910655392 - KADLEC REGIONAL MEDICAL CENTER | WA | Otolaryngology Physician (207Y00000X) |
United | L8693 | $1360.04 | 1265986376 - PROLIANCE SURGEONS, INC., P.S., PROLIANCE THE CHILDREN AND FAMILY EYE DOCTORS | 911606533 - (WA) PROLIANCE SURGEONS, INC., P.S. | 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 L8693 vs. Other Miscellaneous Orthotic and Prosthetic Services and Supplies Codes
The HCPCS L8693 code is part of the Prosthetic Procedures services used for Miscellaneous Orthotic and Prosthetic Services and Supplies. 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 L8693 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 |
|---|---|---|
| L8692-HCPCS | High | Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment |
| L8693-HCPCS | High | Auditory osseointegrated device abutment, any length, replacement only |
| L8694-HCPCS | Moderate | Auditory osseointegrated device, transducer/actuator, replacement only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8693. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8693 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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