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See a sample rate comparisonHCPCS L8699 Fee Schedule
Last Verified: October 2026
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.
Prosthetic implant, not otherwise specified
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Miscellaneous Orthotic and Prosthetic Services and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L8699 |
National average reimbursement for HCPCS L8699 by major payers:
$342.49
$169.79
$2,228.71
$244.91
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HCPCS L8699
2 of 2 sample ratesHigher to lower in this preview
Crosbyton Clinic Hospital
$1,272.00Published rateCrosbyton Clinic Hospital
$1,272.00Published rate
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See a sample payer proposalHCPCS L8699 vs. Other Miscellaneous Orthotic and Prosthetic Services and Supplies Codes
The HCPCS L8699 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 L8699 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 |
|---|---|---|
| L8698-HCPCS | Low | Miscellaneous component, supply or accessory for use with total artificial heart system |
| L8699-HCPCS | Moderate | Prosthetic implant, not otherwise specified |
| L8701-HCPCS | High | Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8699. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8699 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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