L8035 HCPCS Level II code: Custom breast prosthesis, post mastectomy, molded to patient model, any type
L8035 is the HCPCS code for “Custom breast prosthesis, post mastectomy, molded to patient model, any type” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L8035Custom breast prosthesis, post mastectomy, molded to patient model, any type
Short description: Custom breast prosth any
HCPCS · United States
Medicare details
The indicators CMS publishes with L8035 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, 1999
Where L8035 sits
- 1L codesOrthotics and prosthetics
- 2Active code L8035Custom breast prosthesis, post mastectomy, molded to patient model, 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 L8035 mean?
L8035 is the HCPCS code for “Custom breast prosthesis, post mastectomy, molded to patient model, any type” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L8035?
CMS lists L8035’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 L8035
All L codesL8015External breast prosthesis garment, with mastectomy form, post mastectomyL8020Breast prosthesis, mastectomy formL8030Breast 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, eachL8039Breast prosthesis, not otherwise specifiedL8040Nasal prosthesis, provided by a non-physicianL8041Midfacial prosthesis, provided by a non-physicianL8042Orbital prosthesis, provided by a non-physicianL8043Upper facial prosthesis, provided by a non-physicianL8044Hemi-facial prosthesis, provided by a non-physician