HCPCS code L8033 — Nipple prosthesis custom, ea.
Status: Active.
Effective Jan 1, 2020.
Source: CMS HCPCS Level II.
L8033
ActiveNipple prosthesis custom, ea
Nipple prosthesis, custom fabricated, reusable, any material, any type, each
Category:
Orthotics & Prosthetics
Section:
L-codes: Orthotic and Prosthetic Procedures
Effective:
Jan 1, 2020
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of L8033 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 | 2 |
| Outpatient Hospital | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2020-Q1Nipple prosthesis custom, ea