L8600 — Implantable breast prosthesis, silicone or equal
L8600 is a HCPCS Level II code for implantable breast prosthesis, silicone or equal. 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 L8600 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
- 2 units MAI 3 — Date of Service Edit: Clinical · Anatomic Consideration
- outpatient
- 2 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
- DME supplier
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
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 L8600
- Long descriptor
- Implantable breast prosthesis, silicone or equal
- Short descriptor
- Implant breast silicone/eq
- Added
- January 1, 1992
- 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 L8600
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If L8600 is not quite right, the correct code is very often within a few positions of it.
- L8507Tracheo-esophageal voice prosthesis, patient inserted, any type, each
- L8509Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type
- L8510Voice amplifier
- L8511Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each
- L8512Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10
- L8513Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each
- L8514Tracheoesophageal puncture dilator, replacement only, each
- L8515Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each
- L8603Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies
- L8604Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies
- L8605Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies
- L8606Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies
- L8607Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies
- L8608Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system
- L8609Artificial cornea
- L8610Ocular implant
Questions about L8600
What is HCPCS code L8600?
L8600 is a HCPCS Level II code for implantable breast prosthesis, silicone or equal. It sits in the Orthotic and Prosthetic Procedures and Devices section.
Does Medicare cover L8600?
The CMS HCPCS file marks L8600 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.