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L8020 HCPCS Level II code: Breast prosthesis, mastectomy form

L8020 is the HCPCS code for “Breast prosthesis, mastectomy form” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

L8020

Breast prosthesis, mastectomy form

Short description: Mastectomy form

HCPCS · United States

Medicare details

The indicators CMS publishes with L8020 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Special coverage instructions apply
Medicare pricing
DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of service
Lump sum purchase of DME, prosthetics, orthotics
BETOS category
Prosthetic/Orthotic devices
Added
Jan 1, 1986

Where L8020 sits

  1. 1L codesOrthotics and prosthetics
  2. 2Active code L8020Breast prosthesis, mastectomy form

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

See L8020 in the CMS source

Frequently asked questions

What does HCPCS code L8020 mean?

L8020 is the HCPCS code for “Breast prosthesis, mastectomy form” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover L8020?

CMS lists L8020’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

Codes beside L8020

L7902Tension ring, for vacuum erection device, any type, replacement only, eachL8000Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any typeL8001Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any typeL8002Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any typeL8010Breast prosthesis, mastectomy sleeveL8015External breast prosthesis garment, with mastectomy form, post mastectomyL8030Breast prosthesis, silicone or equal, without integral adhesive, any typeL8031Breast prosthesis, silicone or equal, with integral adhesive, any typeL8032Nipple prosthesis, prefabricated, reusable, any type, eachL8033Nipple prosthesis, custom fabricated, reusable, any material, any type, eachL8035Custom breast prosthesis, post mastectomy, molded to patient model, any typeL8039Breast prosthesis, not otherwise specified