Showing codes L8002 (Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type) — L8435 (Prosthetic sock, multiple ply, upper limb, each)

L8002 - Brst prsth bra & bilat form
Long description: Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
Code added date: 20020101.
Code effective date: 20130101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8010 - Mastectomy sleeve
Long description: Breast prosthesis, mastectomy sleeve
Code added date: 19860101.
Code effective date: 20050401.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8015 - Ext breastprosthesis garment
Long description: External breast prosthesis garment, with mastectomy form, post mastectomy
Code added date: 19990101.
Code effective date: 19990101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8020 - Mastectomy form
Long description: Breast prosthesis, mastectomy form
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8030 - Breast prosthes w/o adhesive
Long description: Breast prosthesis, silicone or equal, without integral adhesive
Code added date: 19890101.
Code effective date: 20100101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8031 - Breast prosthesis w adhesive
Long description: Breast prosthesis, silicone or equal, with integral adhesive
Code added date: 20100101.
Code effective date: 20100101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8032 - Reusable nipple prosthesis
Long description: Nipple prosthesis, prefabricated, reusable, any type, each
Code added date: 20100101.
Code effective date: 20200101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8033 - Nipple prosthesis custom, ea
Long description: Nipple prosthesis, custom fabricated, reusable, any material, any type, each
Code added date: 20200101.
Code effective date: 20200101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8035 - Custom breast prosthesis
Long description: Custom breast prosthesis, post mastectomy, molded to patient model
Code added date: 19990101.
Code effective date: 19990101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8039 - Breast prosthesis nos
Long description: Breast prosthesis, not otherwise specified
Code added date: 19980101.
Code effective date: 19980101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8040 - Nasal prosthesis
Long description: Nasal prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8041 - Midfacial prosthesis
Long description: Midfacial prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8042 - Orbital prosthesis
Long description: Orbital prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8043 - Upper facial prosthesis
Long description: Upper facial prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8044 - Hemi-facial prosthesis
Long description: Hemi-facial prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8045 - Auricular prosthesis
Long description: Auricular prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8046 - Partial facial prosthesis
Long description: Partial facial prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8047 - Nasal septal prosthesis
Long description: Nasal septal prosthesis, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8048 - Unspec maxillofacial prosth
Long description: Unspecified maxillofacial prosthesis, by report, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8049 - Repair maxillofacial prosth
Long description: Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician
Code added date: 20010101.
Code effective date: 20010101.
Pricing Indicator Code(s): 46 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8300 - Truss single w/ standard pad
Long description: Truss, single with standard pad
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8310 - Truss double w/ standard pad
Long description: Truss, double with standard pads
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8320 - Truss addition to std pad wa
Long description: Truss, addition to standard pad, water pad
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8330 - Truss add to std pad scrotal
Long description: Truss, addition to standard pad, scrotal pad
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8400 - Sheath below knee
Long description: Prosthetic sheath, below knee, each
Code added date: 19820101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8410 - Sheath above knee
Long description: Prosthetic sheath, above knee, each
Code added date: 19820101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8415 - Sheath upper limb
Long description: Prosthetic sheath, upper limb, each
Code added date: 19880101.
Code effective date: 19960101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8417 - Pros sheath/sock w gel cushn
Long description: Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
Code added date: 19970101.
Code effective date: 19970101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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L8420 - Prosthetic sock multi ply bk
Long description: Prosthetic sock, multiple ply, below knee, each
Code added date: 19820101.
Code effective date: 19990101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8430 - Prosthetic sock multi ply ak
Long description: Prosthetic sock, multiple ply, above knee, each
Code added date: 19820101.
Code effective date: 19990101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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L8435 - Pros sock multi ply upper lm
Long description: Prosthetic sock, multiple ply, upper limb, each
Code added date: 19880101.
Code effective date: 20000101.
Pricing Indicator Code(s): 38 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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