HCPCS Level II · Orthotic and prosthetic procedures and devices
L8020Breast prosthesis, mastectomy form
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L8020
L8020 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing breast prosthesis, mastectomy form.
It was added to HCPCS effective 01/01/1986, and its current record took effect 01/01/1996.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- Mastectomy form
- Date added
- 01/01/1986
- Action effective
- 01/01/1996
- BETOS
- D1F
Related L80xx codes
- L8000Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
- L8001Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
- L8002Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
- L8015External breast prosthesis garment, with mastectomy form, post mastectomy
- L8030Breast prosthesis, silicone or equal, without integral adhesive, any type
- L8031Breast prosthesis, silicone or equal, with integral adhesive, any type
- L8032Nipple prosthesis, prefabricated, reusable, any type, each
- L8033Nipple prosthesis, custom fabricated, reusable, any material, any type, each
- L8035Custom breast prosthesis, post mastectomy, molded to patient model, any type
- L8039Breast prosthesis, not otherwise specified
- L8040Nasal prosthesis, provided by a non-physician
- L8041Midfacial prosthesis, provided by a non-physician
Common questions about L8020
Is HCPCS L8020 still valid?
- Yes. L8020 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L8020?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.