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HCPCS Procedure & Supply Codes
Prosthetics
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Other
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Breast Prosthesis
section notes
L8000   Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, an...
L8001   Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unila...
L8002   Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilat...
L8015   External breast prosthesis garment, with mastectomy form, post mastectomy
L8020   Breast prosthesis, mastectomy form
L8030   Breast prosthesis, silicone or equal, without integral adhesive
L8031   Breast prosthesis, silicone or equal, with integral adhesive
L8032   Nipple prosthesis, prefabricated, reusable, any type, each
L8033   Nipple prosthesis, custom fabricated, reusable, any material, any type, each
L8035   Custom breast prosthesis, post mastectomy, molded to patient model
L8039   Breast prosthesis, not otherwise specified
L8600   Implantable breast prosthesis, silicone or equal
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