L8042 HCPCS Level II code: Orbital prosthesis, provided by a non-physician
L8042 is the HCPCS code for “Orbital prosthesis, provided by a non-physician” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L8042Orbital prosthesis, provided by a non-physician
Short description: Orbital prosthesis
HCPCS · United States
Medicare details
The indicators CMS publishes with L8042 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- 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, 2001
Where L8042 sits
- 1L codesOrthotics and prosthetics
- 2Active code L8042Orbital prosthesis, provided by a non-physician
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 L8042 mean?
L8042 is the HCPCS code for “Orbital prosthesis, provided by a non-physician” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L8042?
CMS lists L8042’s Medicare coverage as “Carrier judgment” 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 L8042
All L codesL8032Nipple 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-physicianL8041Midfacial prosthesis, provided by a non-physicianL8043Upper facial prosthesis, provided by a non-physicianL8044Hemi-facial prosthesis, provided by a non-physicianL8045Auricular prosthesis, provided by a non-physicianL8046Partial facial prosthesis, provided by a non-physicianL8047Nasal septal prosthesis, provided by a non-physicianL8048Unspecified maxillofacial prosthesis, by report, provided by a non-physician