L8606: Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies
L8606 is a HCPCS Level II code for injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits: units per day
The most units of L8606 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 5 units MAI 3: Date of Service Edit: Clinical · Prescribing Information
- outpatient
- 5 units MAI 3: Date of Service Edit: Clinical · Prescribing Information
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute, no documentation overrides it. CMS MUE 2026Q4.
The CMS record for L8606
- Long descriptor
- Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies
- Short descriptor
- Synthetic implnt urinary 1ml
- Added
- January 1, 2001
- BETOS
- D1F
- Pricing indicator
- 38: DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to L8606
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If L8606 is not quite right, the correct code is very often within a few positions of it.
- L8512Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10
- L8513Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each
- L8514Tracheoesophageal puncture dilator, replacement only, each
- L8515Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each
- L8600Implantable breast prosthesis, silicone or equal
- L8603Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies
- L8604Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies
- L8605Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies
- L8607Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies
- L8608Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system
- L8609Artificial cornea
- L8610Ocular implant
- L8612Aqueous shunt
- L8613Ossicula implant
- L8614Cochlear device, includes all internal and external components
- L8615Headset/headpiece for use with cochlear implant device, replacement