L8002 — Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
L8002 is a HCPCS Level II code for breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type. It belongs to the Orthotic and Prosthetic Procedures and Devices section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of L8002 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 4 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
- DME supplier
- 4 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for L8002
- Long descriptor
- Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
- Short descriptor
- Brst prsth bra & bilat form
- Added
- January 1, 2002
- BETOS
- D1F
- Pricing indicator
- 38 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to L8002
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L8002 is not quite right, the correct code is very often within a few positions of it.
- L7510Repair of prosthetic device, repair or replace minor parts
- L7520Repair prosthetic device, labor component, per 15 minutes
- L7600Prosthetic donning sleeve, any material, each
- L7700Gasket or seal, for use with prosthetic socket insert, any type, each
- L7900Male vacuum erection system
- L7902Tension ring, for vacuum erection device, any type, replacement only, each
- L8000Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
- L8001Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
- L8010Breast prosthesis, mastectomy sleeveterminated
- L8015External breast prosthesis garment, with mastectomy form, post mastectomy
- L8020Breast prosthesis, mastectomy form
- L8030Breast prosthesis, silicone or equal, without integral adhesive
- L8031Breast prosthesis, silicone or equal, with integral adhesive
- L8032Nipple prosthesis, prefabricated, reusable, any type, each
- L8033Nipple prosthesis, custom fabricated, reusable, any material, any type, each
- L8035Custom breast prosthesis, post mastectomy, molded to patient model
Questions about L8002
What is HCPCS code L8002?
L8002 is a HCPCS Level II code for breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L8002?
The CMS HCPCS file marks L8002 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.