HCPCS code L8604 — Dextranomer/hyaluronic acid.
Status: Active.
Effective Jan 1, 2009.
Source: CMS HCPCS Level II.
L8604
ActiveDextranomer/hyaluronic acid
Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies
Category:
Orthotics & Prosthetics
Section:
L-codes: Orthotic and Prosthetic Procedures
Effective:
Jan 1, 2009
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of L8604 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 3 |
| Practitioner Services | 3 |
Source: CMS Medicare NCCI Medically Unlikely Edits