HCPCS code L8000 — Mastectomy bra. Status: Active. Effective Jan 1, 2013. Source: CMS HCPCS Level II.

L8000

Active

Mastectomy bra

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Category: Orthotics & Prosthetics
Section: L-codes: Orthotic and Prosthetic Procedures
Effective: Jan 1, 2013
Code type: alphanumeric
OPPS Status: A — Paid under a separate fee schedule (not OPPS)

MUE — Medically Unlikely Edits

Maximum units of L8000 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 6
Outpatient Hospital 6
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits