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Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

HCPCS code

Name of the Procedure:

Breast Prosthesis, Mastectomy Bra with Integrated Breast Prosthesis Form, Unilateral, Any Size, Any Type (HCPCS Code: L8001)

Summary

A mastectomy bra with an integrated breast prosthesis form is specially designed for women who have undergone breast removal surgery (mastectomy). This bra includes a built-in breast form to recreate the appearance and feel of a natural breast.

Purpose

The procedure addresses the physical and emotional effects of mastectomy in women who have had one breast removed. The goal is to restore a natural look, enhance comfort, and improve the overall quality of life and self-esteem.

Indications

  • Women who have undergone unilateral mastectomy.
  • Patients who desire a non-surgical option for breast reconstruction.
  • Women experiencing asymmetry following mastectomy.

Preparation

No special preparation is needed for the mastectomy bra fitting, though it may be beneficial to:

  • Schedule a fitting appointment with a certified mastectomy bra fitter.
  • Wear comfortable clothing.
  • Bring a list of any medications or current treatments, as these may affect skin sensitivity.

Procedure Description

  1. Assessment: The certified fitter evaluates the post-surgical area for size, shape, and skin condition.
  2. Selection: Various sizes and types of mastectomy bras with integrated breast forms are tried on to determine the most comfortable and natural-looking fit.
  3. Adjustment: Straps and closures are adjusted for optimal support and comfort.
  4. Education: The patient is instructed on how to properly wear and care for the bra.

No anesthesia or sedation is involved.

Duration

The fitting typically takes around 30-60 minutes.

Setting

The procedure is performed in an outpatient setting, such as a specialty lingerie shop, medical supply store, or hospital mastectomy fitting center.

Personnel

The procedure is conducted by a certified mastectomy bra fitter, often a professional with experience in post-mastectomy care.

Risks and Complications

  • Common Risks: Skin irritation, discomfort from improper fit.
  • Rare Risks: Allergic reaction to materials.
  • Management: Adjustments or alternative prosthesis materials can mitigate most issues.

Benefits

  • Immediate aesthetic results.
  • Enhanced comfort and symmetry.
  • Boosted self-confidence and emotional well-being.
  • Non-surgical and non-invasive solution.

Recovery

There is no formal recovery period. Most patients can resume normal activities immediately. Proper care of the prosthesis and mastectomy bra can prolong their lifespan.

Alternatives

  • External Breast Prosthesis (Non-integrated): Removable prosthesis worn with conventional bras.
  • Surgical Reconstruction: Permanent breast reconstruction surgery using implants or autologous tissue.
  • Pros and Cons:
    • External Prosthesis: More flexibility, but may require frequent adjustments.
    • Surgical Reconstruction: Permanent solution, but involves surgical risks and a longer recovery period.

Patient Experience

Patients may feel some initial discomfort during the fitting process, particularly if they are newly post-operative. Over time, wearing the mastectomy bra with an integrated prosthesis generally provides improved comfort and a sense of normalcy. Pain management is typically unnecessary, but over-the-counter pain relievers can be used if any irritation occurs.

Medical Policies and Guidelines for Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

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