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HCPCS Level II · Orthotic and prosthetic procedures and devices

L8604Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies

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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About L8604

L8604 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies.

It was added to HCPCS effective 01/01/2009.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Dextranomer/hyaluronic acid
Date added
01/01/2009
Action effective
01/01/2009
BETOS
D1F

Related L86xx codes

Common questions about L8604

Is HCPCS L8604 still valid?

Yes. L8604 is active in the CMS October 2026 HCPCS file.

Does Medicare cover L8604?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.