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L8030
Breast prosthesis, silicone or equal, without integral adhesive
HCPCS code
Medical Policies and Guidelines for Breast prosthesis, silicone or equal, without integral adhesive
Related policies from health plans
CIGNA
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
HUMANA
Prosthetics
HUMANA
Prosthetics
Similar Codes
ICD10CM codes
Z44.3
- Encounter for fitting and adjustment of external breast prosthesis
Z44.31
- Encounter for fitting and adjustment of external right breast prosthesis
Z44.32
- Encounter for fitting and adjustment of external left breast prosthesis
Z45.819
- Encounter for adjustment or removal of unspecified breast implant
T85.42
- Displacement of breast prosthesis and implant
T85.43
- Leakage of breast prosthesis and implant
Z45.81
- Encounter for adjustment or removal of breast implant
Z44.30
- Encounter for fitting and adjustment of external breast prosthesis, unspecified breast
Z45.812
- Encounter for adjustment or removal of left breast implant
T85.41
- Breakdown (mechanical) of breast prosthesis and implant
HCPCS codes
L8030
- Breast prosthesis, silicone or equal, without integral adhesive
L8600
- Implantable breast prosthesis, silicone or equal
L8000
- Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
L8001
- Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any
L8002
- Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any
L8035
- Custom breast prosthesis, post mastectomy, molded to patient model
L8010
- Breast prosthesis, mastectomy sleeve
L8020
- Breast prosthesis, mastectomy form
C1789
- Prosthesis, breast (implantable)
L8015
- External breast prosthesis garment, with mastectomy form, post mastectomy
CPT4 codes
19325
- Breast augmentation with implant
19324
- Mammaplasty, augmentation; without prosthetic implant
19342
- Insertion or replacement of breast implant on separate day from mastectomy
77046
- Magnetic resonance imaging, breast, without contrast material; unilateral
19328
- Removal of intact breast implant
77058
- Magnetic resonance imaging, breast, without and/or with contrast material(s); unilateral
19330
- Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)
77059
- Magnetic resonance imaging, breast, without and/or with contrast material(s); bilateral
19370
- Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial caps
77047
- Magnetic resonance imaging, breast, without contrast material; bilateral