L8623 Lith ion batt cid,non-earlvl

Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for L8623

DMEPOS fee schedule, July 2026 (DME26-C)

Payer policies and prior authorization for L8623

3 of 3 payer prior-auth lists that name L8623 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas, Humana, Rocky Mountain Health Plans.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross and Blue Shield of TexasTexas PA exemption (gold card), outpatient, fully insuredTXprior auth requiredGold-card exemption availableJul 1, 2026BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range)
HumanaHumana Puerto Rico MA and Dual Medicare-MedicaidPRprior auth requiredNov 3, 2025Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plans Preauthorization and Notification List Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plan Preauthorization and Notification
Rocky Mountain Health PlansRocky Mountain Medicare Advantage D-SNPCOprior auth requiredFeb 1, 2025Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025

Payer coverage policies that name L8623

L8623 appears in 10 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Shield of California, Capital Blue Cross, Centene, Regence.

PayerPolicyRole in policyReviewedDocument
AetnaAural Rehabilitation (0034)listed, no stance (range L8614-L8624)Mar 10, 2026payer document
AetnaCochlear Implants and Auditory Brainstem Implants (0013)covered if criteria are metAug 18, 2026payer document
AetnaMeniere's Disease and Related Disorders: Surgery (0514)not covered (range L8614-L8629)Jul 2, 2026payer document
AetnaTinnitus Treatments (0406)not covered (range L8614-L8629)Jul 10, 2026payer document
Blue Cross & Blue Shield of MississippiCochlear Implantscovered if criteria are metpayer document
Blue Shield of California| Cochlear Implant (7.01.05)listed, no stancepayer document
Capital Blue CrossCochlear Implant (MP 1.023)
Procedure Codes
covered if criteria are metSep 1, 2026payer document
CenteneCochlear Implant Replacements (CP.MP.14)covered if criteria are metMay 1, 2025payer document
RegenceCochlear Implant (Surgery 08)listed, no stanceMay 1, 2026payer document
RegenceCochlear Implantlisted, no stancepayer document

Recent prior-auth changes

  • Apr 1, 2026: PA removed, UnitedHealthcare Community Plan

Medicaid fee-for-service

Prior authorization required or conditional in FL, LA, MS, OH, VA, WA, WV.

  • AZ: $72.38 (dme), effective Oct 1, 2026
  • CO: $42.90 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $53.23 (hearing, non-facility), effective Apr 6, 2026
  • IL: $47.73 (dme), effective Jan 1, 2026
  • IN: $66.38 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
  • KS: $63.41 (default), effective Jul 1, 2026
  • KY: $47.21 (dme), effective Jan 1, 2026
  • LA: $53.03 (dme), effective Nov 1, 2011
  • MS: $64.06 (comprehensive), effective Jul 1, 2026
  • ND: $232.72 (dme), effective Aug 1, 2026
  • NE: $68.07 (dme), effective Jul 1, 2026
  • NY: $57.85 (hearing_aid, facility), effective Jul 1, 2026
  • OH: $46.94 (dme), effective Sep 1, 2011
  • OK: $56.04 (dme), effective Jan 1, 2026
  • TX: $52.45 (dmepos_tos_9_e_j_l_and_r, Hospital - Long Term, Limited, Or Specialized Ca, facility), effective Dec 2, 2008
  • VA: $58.59 (medical), effective Jan 1, 2012
  • VT: $65.18 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $75.03 (hearing_aids), effective Jul 1, 2026
  • WY: $49.69 (professional), effective Jan 1, 2021

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.