HCPCS L8001 Code. Breast prosthesis bra & form

HCPCS Code: L8001
Long Description: Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
Short Description: Breast prosthesis bra & form

Original information is taken from L8001 page

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

Coverage: D – Special coverage instructions apply

Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics

Anesthesia Base Unit Quantity: 0
Code Added Date: 20020101
Code Effective Date: 20130101
Action Code: N – No maintenance for this code