HCPCS L8020 Code. Mastectomy form

HCPCS Code: L8020
Long Description: Breast prosthesis, mastectomy form
Short Description: Mastectomy form

Original information is taken from L8020 page

Pricing Indicator Code 1: 38 – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings) . Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Coverage: D – Special coverage instructions apply

Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics

Anesthesia Base Unit Quantity: 0
Code Added Date: 19860101
Code Effective Date: 19960101
Action Code: N – No maintenance for this code