L8035 – Custom breast prosthesis, post mastectomy, molded to patient model, any type

Long description

Custom breast prosthesis, post mastectomy, molded to patient model, any type

Short description

Custom breast prosth 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, 1999

Last change

October 1, 2026 – Long description changed

Nearby L codes

• 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
• 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
• L8044 – Hemi-facial prosthesis, provided by a non-physician
• L8045 – Auricular prosthesis, provided by a non-physician
• L8046 – Partial facial prosthesis, provided by a non-physician