L8721 HCPCS code: Receptor sole for use with l8720, replacement, each
L8721 is the HCPCS Level II code for receptor sole for use with l8720, replacement, each. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 46 — Priced by the Medicare contractor (no national fee) |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2024-10-01 |
| Last action effective | 2024-10-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Nature of Equipment |
| outpatient hospital claims | 2 | Nature of Equipment |
| practitioner claims | 2 | Nature of Equipment |
What changed for L8721
- 2024-10-01: L8721 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code L8721?
L8721 is the HCPCS Level II code for receptor sole for use with l8720, replacement, each. Short descriptor: "Receptor sole l8720 replace".
Does Medicare cover L8721?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of L8721 can be billed per day?
2 on DME suppliers; 2 on outpatient hospital claims; 2 on practitioner claims (NCCI medically unlikely edits).
Related L87 codes
- L8701 — Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ($34,970.13–$34,970.13)
- L8702 — Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated ($68,801.71–$68,801.71)
- L8720 — External lower extremity sensory prosthetic device, cutaneous stimulation of mechanoreceptors proximal to the ankle, per leg
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Next steps
- Run a reimbursement report for a device billed under L8721
- Watch L8721 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L8721
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.