L8049 HCPCS Level II code: Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician
L8049 is the HCPCS code for “Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L8049Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician
Short description: Repair maxillofacial prosth
HCPCS · United States
Medicare details
The indicators CMS publishes with L8049 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 2001
Where L8049 sits
- 1L codesOrthotics and prosthetics
- 2Active code L8049Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, 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 L8049 mean?
L8049 is the HCPCS code for “Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L8049?
CMS lists L8049’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)”. 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 L8049
All L codesL8043Upper 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-physicianL8300Truss, single with standard padL8310Truss, double with standard padsL8320Truss, addition to standard pad, water padL8330Truss, addition to standard pad, scrotal padL8400Prosthetic sheath, below knee, eachL8410Prosthetic sheath, above knee, each