HCPCS Code L8001

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
Short DescriptionBreast prosthesis bra & form
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2013
Code Added DateJanuary 01, 2002
Pricing Indicator38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics