L8031 – Breast prosthesis, silicone or equal, with integral adhesive, any type

Long description

Breast prosthesis, silicone or equal, with integral adhesive, any type

Short description

Breast prosth w adhes any

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, 2010

Last change

October 1, 2026 – Long description changed

Nearby L codes

• 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
• 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
• 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
• L8041 – Midfacial prosthesis, provided by a non-physician
• L8042 – Orbital prosthesis, provided by a non-physician
• L8043 – Upper facial prosthesis, provided by a non-physician