HCPCS Level II · Orthotic and prosthetic procedures and devices
L8039Breast prosthesis, not otherwise specified
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About L8039
L8039 is an HCPCS Level II code in the L series (orthotic and prosthetic procedures and devices), describing breast prosthesis, not otherwise specified.
It was added to HCPCS effective 01/01/1998.
Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.
Details
- Short description
- Breast prosthesis nos
- Date added
- 01/01/1998
- Action effective
- 01/01/1998
- 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
- L8020Breast prosthesis, mastectomy form
- 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
- L8040Nasal prosthesis, provided by a non-physician
- L8041Midfacial prosthesis, provided by a non-physician
Common questions about L8039
Is HCPCS L8039 still valid?
- Yes. L8039 is active in the CMS October 2026 HCPCS file.
Does Medicare cover L8039?
- Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.