HCPCS code L8002 — Brst prsth bra & bilat form. Status: Active. Effective Jan 1, 2013. Source: CMS HCPCS Level II.

L8002

Active

Brst prsth bra & bilat form

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, 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 L8002 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 4
Outpatient Hospital 4
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits