L8015 – External breast prosthesis garment, with mastectomy form, post mastectomy
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL8015
- Long description
- External breast prosthesis garment, with mastectomy form, post mastectomy
- Short description
- Ext breastprosthesis garment
- Pricing indicator
38Orthotics, prosthetics, prosthetic devices & vision services- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 1999
- Last change
- January 1, 1999 – No change
Frequently asked questions
What is HCPCS code L8015?
L8015 is a HCPCS Level II code for external breast prosthesis garment, with mastectomy form, post mastectomy.
Does Medicare cover L8015?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- 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
- L8010 – Breast prosthesis, mastectomy sleeve
- 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
- L8040 – Nasal prosthesis, provided by a non-physician
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.