30 commercial payer policies list L8689. 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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30 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Showing 10 of 12 · All Aetna policies
| Policy | Effective | Status of L8689 |
|---|---|---|
| Alzheimer's Disease: Experimental, Investigational, or Unproven Treatments | Feb 20, 2024 | Covered |
| Eating Disorders | Aug 1, 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 |
| NeuroControl Freehand System | Jun 6, 2023 | Covered |
|---|
| Peripheral Electrical Nerve Stimulation for Pain | Feb 8, 2024 | Covered |
|---|
| Tinnitus Treatments | Feb 16, 2024 | Covered |
|---|
| Trigeminal Neuralgia: Treatments | Feb 15, 2024 | Covered |
|---|
| Policy | Effective | Status of L8689 |
|---|---|---|
| Diaphragmatic/Phrenic Nerve Stimulation | Not recorded | Covered |
| Fecal Incontinence Treatments | Not recorded | Covered |
| Urinary Incontinence Devices and Treatments | Not recorded | Covered |
| Vagus Nerve Stimulation | Not recorded | Covered |
| Policy | Effective | Status of L8689 |
|---|---|---|
| Occipital Nerve Stimulation | Jun 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 L8689 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Policy | Effective | Status of L8689 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Policy | Effective | Status of L8689 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Policy | Effective | Status of L8689 |
|---|---|---|
| Implantable Peripheral Nerve Stimulation for Chronic Pain Conditions | Jan 1, 2026 | Covered |
| Occipital Nerve Stimulation | Nov 15, 2025 | Covered |
| Policy | Effective | Status of L8689 |
|---|---|---|
| Cigna Commercial Interventional Pain Management Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of L8689 |
|---|---|---|
| Cigna Medicare Advantage Interventional Pain Management Code List | Jan 1, 2025 | Prior auth required |