9 commercial payer policies list L8684. 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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9 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of L8684 |
|---|---|---|
| Fecal Incontinence Treatments | Not recorded | Covered |
| Urinary Incontinence Devices and Treatments | Not recorded | Covered |
| Policy | Effective | Status of L8684 |
|---|---|---|
| Levator Syndrome Treatments | Sep 19, 2023 | Covered |
| Policy | Effective | Status of L8684 |
|---|---|---|
| Sacral Nerve Stimulation for Urinary Retention, Urinary Incontinence, and Fecal Incontinence | Oct 1, 2026 | Covered |
| Policy | Effective | Status of L8684 |
|---|---|---|
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of L8684 |
|---|---|---|
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of L8684 |
|---|---|---|
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of L8684 |
|---|---|---|
| Sacral Nerve Neuromodulation/Stimulation | Dec 1, 2025 | Covered |
| Policy | Effective | Status of L8684 |
|---|---|---|
| Sacral Nerve Neuromodulation (Stimulation) for Pelvic Floor Dysfunction | Dec 1, 2025 | Covered |