L8010 – Breast prosthesis, mastectomy sleeve

Long description

Breast prosthesis, mastectomy sleeve

Short description

Mastectomy sleeve

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

D Special coverage instructions apply

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 1986

Last change

April 1, 2025 – No change

Termination date

March 31, 2025

Nearby L codes

• 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
• L8001 – Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
• L8002 – Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
• 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
• L8035 – Custom breast prosthesis, post mastectomy, molded to patient model, any type
• L8039 – Breast prosthesis, not otherwise specified