HCPCS Code L8604

Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies
Short DescriptionDextranomer/hyaluronic acid
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2009
Code Added DateJanuary 01, 2009
Pricing Indicator00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics