L8687 – Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension

HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices

Active code Not payable by Medicare

HCPCS codeL8687
Long description
Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension
Short description
Implt nrostm pls gen dua rec
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
I Not payable by Medicare
BETOS category
D1F Prosthetic/Orthotic devices
Added
January 1, 2006
Last change
January 1, 2014 – No change

Frequently asked questions

What is HCPCS code L8687?

L8687 is a HCPCS Level II code for implantable neurostimulator pulse generator, dual array, rechargeable, includes extension.

Does Medicare cover L8687?

The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby L codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.