Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)
Medically Unlikely Edits (effective October 1, 2026)
Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 1 units per day (clinical), rationale: Clinical: Data
DME supplier: max 1 units per day (clinical), rationale: Clinical: Data
Medicare pricing for L8300
DMEPOS fee schedule, July 2026 (DME26-C)
no modifier, prosthetics and orthotics (PO): non-rural $103.28 to $137.70 in the contiguous states; $103.28 to $260.92 in AK, HI, PR and VI; ceiling $137.70, floor $103.28
Payer policies and prior authorization for L8300
Payer coverage policies that name L8300
L8300 appears in 2 coverage policies from Blue Cross & Blue Shield of Mississippi, Premera Blue Cross.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.