HCPCS Code L8010

Breast prosthesis, mastectomy sleeve
Code effective Apr 01, 2025

HCPCS Section
Orthotic and Prosthetic Procedures, Devices

L8010 is a valid 2026 HCPCS code meaning Breast prosthesis, mastectomy sleeve or (Mastectomy sleeve) for short. HCPCS L8010 has been effective since 04/01/2025 and applies to Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Code Details - L8010

HCPCS Level II Code
Section L - Orthotic and Prosthetic Procedures, Devices
HCPCS Code L8010
Description

Long description:
Breast prosthesis, mastectomy sleeve

Short description:
Mastectomy sleeve

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code D - Special coverage instructions apply
BETOS2 code D1F - Prosthetic/Orthotic devices
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Apr 01, 2025
Date added Added Jan 01, 1986
Termination date Mar 31, 2025

See also

  • HCPCS L8000 · Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

  • HCPCS L8001 · Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

  • HCPCS L8002 · Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type

  • HCPCS L8020 · Breast prosthesis, mastectomy form

  • HCPCS L8015 · External breast prosthesis garment, with mastectomy form, post mastectomy

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.