L8039 – Breast prosthesis, not otherwise specified

Long description

Breast prosthesis, not otherwise specified

Short description

Breast prosthesis nos

Pricing indicator

46 Priced by carrier (not otherwise classified / individual determination)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1F Prosthetic/Orthotic devices

Added

January 1, 1998

Last change

January 1, 1998 – No change

Nearby L codes

• 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
• L8035 – Custom breast prosthesis, post mastectomy, molded to patient model, any type
• 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
• L8047 – Nasal septal prosthesis, provided by a non-physician