L8030 HCPCS Level II code: Breast prosthesis, silicone or equal, without integral adhesive, any type
L8030 is the HCPCS code for “Breast prosthesis, silicone or equal, without integral adhesive, any type” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L8030Breast prosthesis, silicone or equal, without integral adhesive, any type
Short description: Breast prosth w/o adhes any
HCPCS · United States
Medicare details
The indicators CMS publishes with L8030 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, 1989
Where L8030 sits
- 1L codesOrthotics and prosthetics
- 2Active code L8030Breast prosthesis, silicone or equal, without integral adhesive, any type
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.
Frequently asked questions
What does HCPCS code L8030 mean?
L8030 is the HCPCS code for “Breast prosthesis, silicone or equal, without integral adhesive, any type” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L8030?
CMS lists L8030’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 L8030
All L codesL8000Breast 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 mastectomyL8020Breast prosthesis, mastectomy formL8031Breast 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 specifiedL8040Nasal prosthesis, provided by a non-physician