Spinal Cord Stimulators for Chronic Pain
JJ · Effective Jan 29, 2018
5 active Medicare policies list L8680, and 97 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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JJ · Effective Jan 29, 2018
JM · Effective Jan 29, 2018
National · Effective Apr 6, 2026
National · Effective Mar 5, 2026
National · Effective Jan 1, 2024
97 policies from 15 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Showing 10 of 13 · All Aetna policies
| Policy | Effective | Status of L8680 |
|---|---|---|
| Alzheimer's Disease: Experimental, Investigational, or Unproven Treatments | Feb 20, 2024 | Covered |
| Eating Disorders | Aug 1, 2023 | Covered |
| Epilepsy Surgery | Feb 27, 2024 | Covered |
| Gastric Pacing / Electrical Stimulation and Gastroesophageal Per Oral Endoscopic Myotomy | Sep 25, 2023 | Covered |
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |
| Huntington's Disease | Sep 12, 2023 |
| Covered |
| Levator Syndrome Treatments | Sep 19, 2023 | Covered |
|---|
| Motor Cortex Stimulation | Oct 6, 2023 | Covered |
|---|
| NeuroControl Freehand System | Jun 6, 2023 | Covered |
|---|
| Peripheral Electrical Nerve Stimulation for Pain | Feb 8, 2024 | Covered |
|---|
| Policy | Effective | Status of L8680 |
|---|---|---|
| Deep Brain, Cortical, and Cerebellar Stimulation | Jan 30, 2025 | Covered |
| Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems | Jan 30, 2025 | Covered |
| Gastric Electrical Stimulation | Jan 30, 2025 | Covered |
| Implantable Peripheral Nerve Stimulation Devices as a Treatment for Pain | Apr 16, 2025 | Covered |
| Implantation of Occipital, Supraorbital or Trigeminal Nerve Stimulation Devices (and Related Procedures) | Jan 30, 2025 | Not covered |
| Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or Snoring | Oct 1, 2024 | Covered |
| Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal Incontinence | Apr 16, 2025 | Covered |
| Vagus Nerve Stimulation | Mar 6, 2025 | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Sep 1, 2026 | Covered |
| Deep Brain Stimulation | Sep 15, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Dec 1, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Sleep Related Breathing Disorders: Surgical Management | Jan 1, 2026 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Sep 1, 2026 | Covered |
| Deep Brain Stimulation | Sep 15, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Dec 1, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Sleep Related Breathing Disorders: Surgical Management | Jan 1, 2026 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Sep 1, 2026 | Covered |
| Deep Brain Stimulation | Sep 15, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Dec 1, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Sleep Related Breathing Disorders: Surgical Management | Jan 1, 2026 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Cranial Electrotherapy Stimulation and Auricular Electrostimulation | Sep 1, 2026 | Covered |
| Deep Brain Stimulation | Sep 15, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy | Dec 1, 2025 | Covered |
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Sleep Related Breathing Disorders: Surgical Management | Jan 1, 2026 | Covered |
| Spinal Cord Stimulation (SCS) and Dorsal Root Ganglion (DRG) Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Diaphragmatic/Phrenic Nerve Stimulation | Not recorded | Covered |
| Fecal Incontinence Treatments | Not recorded | Covered |
| Gastric Electrical Stimulation | Not recorded | Covered |
| Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea | Not recorded | Covered |
| Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation | Not recorded | Covered |
| Urinary Incontinence Devices and Treatments | Not recorded | Covered |
| Vagus Nerve Stimulation | Not recorded | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Deep Brain and Cortical Stimulation – Surest Medical Policy | Apr 1, 2026 | Covered |
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Mar 1, 2026 | Covered |
| Implanted Electrical Stimulator for the Spinal Cord | Jan 1, 2026 | Covered |
| Obstructive and Central Sleep Apnea Treatment – Surest Medical Policy | Apr 1, 2026 | Covered |
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Jan 1, 2026 | Covered |
| Sacral Nerve Stimulation for Urinary and Fecal Indications | Jan 1, 2026 | Covered |
| Vagus and External Trigeminal Nerve Stimulation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Deep Brain and Cortical Stimulation | Feb 1, 2026 | Covered |
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Mar 1, 2026 | Covered |
| Implanted Electrical Stimulator for the Spinal Cord | Jan 1, 2026 | Covered |
| Obstructive and Central Sleep Apnea Treatment | Apr 1, 2026 | Covered |
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Jan 1, 2026 | Covered |
| Sacral Nerve Stimulation for Urinary and Fecal Indications | Jan 1, 2026 | Covered |
| Vagus and External Trigeminal Nerve Stimulation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Deep Brain and Cortical Stimulation | Feb 1, 2026 | Covered |
| Electrical Stimulation for the Treatment of Pain and Muscle Rehabilitation | Mar 1, 2026 | Covered |
| Implanted Electrical Stimulator for the Spinal Cord | Jan 1, 2026 | Covered |
| Obstructive and Central Sleep Apnea Treatment | Apr 1, 2026 | Covered |
| Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache) | Jan 1, 2026 | Covered |
| Sacral Nerve Stimulation for Urinary and Fecal Indications | Jan 1, 2026 | Covered |
| Vagus and External Trigeminal Nerve Stimulation | Jan 1, 2026 | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Gastric Electrical Stimulation | Jul 1, 2026 | Covered |
| Implantable Peripheral Nerve Stimulation and Peripheral Subcutaneous Field Stimulation | Sep 1, 2026 | Covered |
| Occipital Nerve Stimulation | Jun 1, 2026 | Covered |
| Responsive Neurostimulation | Mar 1, 2026 | Covered |
| Sacral Nerve Neuromodulation (Stimulation) for Pelvic Floor Dysfunction | Dec 1, 2025 | Covered |
| Vagus Nerve Stimulation | Aug 1, 2026 | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Cigna Commercial Interventional Pain Management Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Cigna Commercial Sleep Management Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Diaphragmatic/Phrenic Nerve Stimulation | Jul 15, 2026 | Covered with conditions |
| Headache, Occipital, and/or Trigeminal Neuralgia Treatment | Jun 15, 2026 | Not covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Interventional Pain Management | Not recorded | Covered |
| Sleep Disorder Management | Not recorded | Covered |
| Sleep Disorder Management | Not recorded | Covered |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Cigna Medicare Advantage Interventional Pain Management Code List - Effective 01/01/2025 | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of L8680 |
|---|---|---|
| Deep Brain and Responsive Cortical Stimulation | Not recorded | Covered |