HCPCS Service Codes - Lump sum purchase of DME, prosthetics, orthotics

HCPCS Codes for Lump sum purchase of DME, prosthetics, orthotics

• L8030

  Breast prosthesis, silicone or equal, without integral adhesive

• L8031

  Breast prosthesis, silicone or equal, with integral adhesive

• L8032

  Nipple prosthesis, prefabricated, reusable, any type, each

• L8033

  Nipple prosthesis, custom fabricated, reusable, any material, any type, each

• L8035

  Custom breast prosthesis, post mastectomy, molded to patient model

• L8039

  Breast prosthesis, not otherwise specified

• L8040

  Nasal prosthesis, provided by a non-physician

• L8041

  Midfacial prosthesis, provided by a non-physician

• L8042

  Orbital prosthesis, provided by a non-physician

• L8043

  Upper facial prosthesis, provided by a non-physician

• L8044

  Hemi-facial prosthesis, provided by a non-physician

• L8045

  Auricular prosthesis, provided by a non-physician

• L8046

  Partial facial prosthesis, provided by a non-physician

• L8047

  Nasal septal prosthesis, provided by a non-physician

• L8048

  Unspecified maxillofacial prosthesis, by report, provided by a non-physician

• L8049

  Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician

• L8300

  Truss, single with standard pad

• L8310

  Truss, double with standard pads

• L8320

  Truss, addition to standard pad, water pad

• L8330

  Truss, addition to standard pad, scrotal pad

• L8400

  Prosthetic sheath, below knee, each

• L8410

  Prosthetic sheath, above knee, each

• L8415

  Prosthetic sheath, upper limb, each

• L8417

  Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each

• L8420

  Prosthetic sock, multiple ply, below knee, each

• L8430

  Prosthetic sock, multiple ply, above knee, each

• L8435

  Prosthetic sock, multiple ply, upper limb, each

• L8440

  Prosthetic shrinker, below knee, each

• L8460

  Prosthetic shrinker, above knee, each

• L8465

  Prosthetic shrinker, upper limb, each

• L8470

  Prosthetic sock, single ply, fitting, below knee, each

• L8480

  Prosthetic sock, single ply, fitting, above knee, each

• L8485

  Prosthetic sock, single ply, fitting, upper limb, each

• L8499

  Unlisted procedure for miscellaneous prosthetic services

• L8500

  Artificial larynx, any type

• L8501

  Tracheostomy speaking valve

• L8505

  Artificial larynx replacement battery / accessory, any type

• L8507

  Tracheo-esophageal voice prosthesis, patient inserted, any type, each

• L8509

  Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type

• L8510

  Voice amplifier

• L8511

  Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each

• L8512

  Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10

• L8513

  Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each

• L8514

  Tracheoesophageal puncture dilator, replacement only, each

• L8515

  Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each

• L8600

  Implantable breast prosthesis, silicone or equal

• L8603

  Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies

• L8604

  Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies

• L8605

  Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies

• L8606

  Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies