L8042 – Orbital prosthesis, provided by a non-physician
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL8042
- Long description
- Orbital prosthesis, provided by a non-physician
- Short description
- Orbital prosthesis
- Pricing indicator
38Orthotics, prosthetics, prosthetic devices & vision services- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 2001
- Last change
- January 1, 2001 – No change
Frequently asked questions
What is HCPCS code L8042?
L8042 is a HCPCS Level II code for orbital prosthesis, provided by a non-physician.
Does Medicare cover L8042?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- 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
- L8041 – Midfacial 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
- L8048 – Unspecified maxillofacial prosthesis, by report, provided by a non-physician
- L8049 – Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician
- L8300 – Truss, single with standard pad
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.