Table of content for "Mastectomy bra" (HCPCS L8000)
General information on the “L8000” code
HCPCS Code: L8000
Long Description: Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
Short Description: Mastectomy bra
Original information is taken from L8000 page
Pricing indicators
Pricing Indicator Code 1: 38 – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19860101
Code Effective Date: 20130101
Action Code: N – No maintenance for this code