L8001 – Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

Long description

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

Short description

Breast prosthesis bra & form

Pricing indicator

38 Orthotics, prosthetics, prosthetic devices & vision services

Medicare coverage

D Special coverage instructions apply

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 2002

Last change

January 1, 2013 – No change

Nearby L codes

• L7499 – Upper extremity prosthesis, not otherwise specified
• L7510 – Repair of prosthetic device, repair or replace minor parts
• L7520 – Repair prosthetic device, labor component, per 15 minutes
• L7600 – Prosthetic donning sleeve, any material, each
• L7700 – Gasket or seal, for use with prosthetic socket insert, any type, each
• L7900 – Male vacuum erection system
• L7902 – Tension ring, for vacuum erection device, any type, replacement only, each
• L8000 – Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
• L8002 – Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
• L8010 – Breast prosthesis, mastectomy sleeve
• L8015 – External breast prosthesis garment, with mastectomy form, post mastectomy
• L8020 – Breast prosthesis, mastectomy form
• L8030 – Breast prosthesis, silicone or equal, without integral adhesive, any type
• L8031 – Breast prosthesis, silicone or equal, with integral adhesive, any type
• L8032 – Nipple prosthesis, prefabricated, reusable, any type, each
• L8033 – Nipple prosthesis, custom fabricated, reusable, any material, any type, each