HCPCS Code L8020

Breast prosthesis, mastectomy form
Code effective Jan 01, 1996

HCPCS Section
Orthotic and Prosthetic Procedures, Devices

L8020 is a valid 2026 HCPCS code meaning Breast prosthesis, mastectomy form or (Mastectomy form) for short. HCPCS L8020 has been effective since 01/01/1996 and applies to Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Code Details - L8020

HCPCS Level II Code
Section L - Orthotic and Prosthetic Procedures, Devices
HCPCS Code L8020
Description

Long description:
Breast prosthesis, mastectomy form

Short description:
Mastectomy form

HCPCS Pricing indicator 38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
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 Jan 01, 1996
Date added Added Jan 01, 1986

See also

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

  • 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 L8010 · Breast prosthesis, mastectomy sleeve

  • HCPCS L8030 · Breast prosthesis, silicone or equal, without integral adhesive

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.