L8604 Dextranomer/hyaluronic acid

Full Description

Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant,

Code
L8604
Short Description
Dextranomer/hyaluronic acid
Section
L — Orthotic and Prosthetic Procedures
Pricing Indicator
00
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026