List of HCPCS codes for: Orthotic/Prosthetic Procedures (L-codes) - Group L8

HCPCS Code	Short Description	Long Description
L8000	Mastectomy bra	Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
L8001	Breast prosthesis bra & form	Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
L8002	Brst prsth bra & bilat form	Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
L8010	Mastectomy sleeve	Breast prosthesis, mastectomy sleeve
L8015	Ext breastprosthesis garment	External breast prosthesis garment, with mastectomy form, post mastectomy
L8020	Mastectomy form	Breast prosthesis, mastectomy form
L8030	Breast prosthes w/o adhesive	Breast prosthesis, silicone or equal, without integral adhesive
L8031	Breast prosthesis w adhesive	Breast prosthesis, silicone or equal, with integral adhesive
L8032	Reusable nipple prosthesis	Nipple prosthesis, prefabricated, reusable, any type, each
L8033	Nipple prosthesis custom, ea	Nipple prosthesis, custom fabricated, reusable, any material, any type, each
L8035	Custom breast prosthesis	Custom breast prosthesis, post mastectomy, molded to patient model
L8039	Breast prosthesis nos	Breast prosthesis, not otherwise specified
L8040	Nasal prosthesis	Nasal prosthesis, provided by a non-physician
L8041	Midfacial prosthesis	Midfacial prosthesis, provided by a non-physician
L8042	Orbital prosthesis	Orbital prosthesis, provided by a non-physician
L8043	Upper facial prosthesis	Upper facial prosthesis, provided by a non-physician
L8044	Hemi-facial prosthesis	Hemi-facial prosthesis, provided by a non-physician
L8045	Auricular prosthesis	Auricular prosthesis, provided by a non-physician
L8046	Partial facial prosthesis	Partial facial prosthesis, provided by a non-physician
L8047	Nasal septal prosthesis	Nasal septal prosthesis, provided by a non-physician
L8048	Unspec maxillofacial prosth	Unspecified maxillofacial prosthesis, by report, provided by a non-physician
L8049	Repair maxillofacial prosth	Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician
L8300	Truss single w/ standard pad	Truss, single with standard pad
L8310	Truss double w/ standard pad	Truss, double with standard pads
L8320	Truss addition to std pad wa	Truss, addition to standard pad, water pad
L8330	Truss add to std pad scrotal	Truss, addition to standard pad, scrotal pad
L8400	Sheath below knee	Prosthetic sheath, below knee, each
L8410	Sheath above knee	Prosthetic sheath, above knee, each
L8415	Sheath upper limb	Prosthetic sheath, upper limb, each
L8417	Pros sheath/sock w gel cushn	Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each
L8420	Prosthetic sock multi ply bk	Prosthetic sock, multiple ply, below knee, each
L8430	Prosthetic sock multi ply ak	Prosthetic sock, multiple ply, above knee, each
L8435	Pros sock multi ply upper lm	Prosthetic sock, multiple ply, upper limb, each
L8440	Shrinker below knee	Prosthetic shrinker, below knee, each
L8460	Shrinker above knee	Prosthetic shrinker, above knee, each
L8465	Shrinker upper limb	Prosthetic shrinker, upper limb, each
L8470	Pros sock single ply bk	Prosthetic sock, single ply, fitting, below knee, each
L8480	Pros sock single ply ak	Prosthetic sock, single ply, fitting, above knee, each
L8485	Pros sock single ply upper l	Prosthetic sock, single ply, fitting, upper limb, each
L8499	Unlisted misc prosthetic ser	Unlisted procedure for miscellaneous prosthetic services
L8500	Artificial larynx	Artificial larynx, any type
L8501	Tracheostomy speaking valve	Tracheostomy speaking valve
L8505	Artificial larynx, accessory	Artificial larynx replacement battery / accessory, any type
L8507	Trach-esoph voice pros pt in	Tracheo-esophageal voice prosthesis, patient inserted, any type, each
L8509	Trach-esoph voice pros md in	Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type
L8510	Voice amplifier	Voice amplifier
L8511	Indwelling trach insert	Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each
L8512	Gel cap for trach voice pros	Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10
L8513	Trach pros cleaning device	Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each
L8514	Repl trach puncture dilator	Tracheoesophageal puncture dilator, replacement only, each
L8515	Gel cap app device for trach	Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each
L8600	Implant breast silicone/eq	Implantable breast prosthesis, silicone or equal
L8603	Collagen imp urinary 2.5 ml	Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies
L8604	Dextranomer/hyaluronic acid	Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies
L8605	Inj bulking agent anal canal	Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies
L8606	Synthetic implnt urinary 1ml	Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies
L8607	Inj vocal cord bulking agent	Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies
L8608	Arg ii ext com/sup/acc misc	Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system
L8609	Artificial cornea	Artificial cornea
L8610	Ocular implant	Ocular implant
L8612	Aqueous shunt prosthesis	Aqueous shunt
L8613	Ossicular implant	Ossicula implant
L8614	Cochlear device	Cochlear device, includes all internal and external components
L8615	Coch implant headset replace	Headset/headpiece for use with cochlear implant device, replacement
L8616	Coch implant microphone repl	Microphone for use with cochlear implant device, replacement
L8617	Coch implant trans coil repl	Transmitting coil for use with cochlear implant device, replacement
L8618	Coch implant tran cable repl	Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement
L8619	Coch imp ext proc/contr rplc	Cochlear implant, external speech processor and controller, integrated system, replacement
L8621	Repl zinc air battery	Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each
L8622	Repl alkaline battery	Alkaline battery for use with cochlear implant device, any size, replacement, each
L8623	Lith ion batt cid,non-earlvl	Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each
L8624	Lith ion batt cid, ear level	Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each
L8625	Charger coch impl/aoi battry	External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each
L8627	Cid ext speech process repl	Cochlear implant, external speech processor, component, replacement
L8628	Cid ext controller repl	Cochlear implant, external controller component, replacement
L8629	Cid transmit coil and cable	Transmitting coil and cable, integrated, for use with cochlear implant device, replacement
L8630	Metacarpophalangeal implant	Metacarpophalangeal joint implant
L8631	Mcp joint repl 2 pc or more	Metacarpal phalangeal joint replacement, two or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon), for surgical implantation (all sizes, includes entire system)
L8641	Metatarsal joint implant	Metatarsal joint implant
L8642	Hallux implant	Hallux implant
L8658	Interphalangeal joint spacer	Interphalangeal joint spacer, silicone or equal, each
L8659	Interphalangeal joint repl	Interphalangeal finger joint replacement, 2 or more pieces, metal (e.g., stainless steel or cobalt chrome), ceramic-like material (e.g., pyrocarbon) for surgical implantation, any size
L8670	Vascular graft, synthetic	Vascular graft material, synthetic, implant
L8678	Ext sply implt neurostim	Electrical stimulator supplies (external) for use with implantable neurostimulator, per month
L8679	Imp neurosti pls gn any type	Implantable neurostimulator, pulse generator, any type
L8680	Implt neurostim elctr each	Implantable neurostimulator electrode, each
L8681	Pt prgrm for implt neurostim	Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only
L8682	Implt neurostim radiofq rec	Implantable neurostimulator radiofrequency receiver
L8683	Radiofq trsmtr for implt neu	Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver
L8684	Radiof trsmtr implt scrl neu	Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement
L8685	Implt nrostm pls gen sng rec	Implantable neurostimulator pulse generator, single array, rechargeable, includes extension
L8686	Implt nrostm pls gen sng non	Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension
L8687	Implt nrostm pls gen dua rec	Implantable neurostimulator pulse generator, dual array, rechargeable, includes extension
L8688	Implt nrostm pls gen dua non	Implantable neurostimulator pulse generator, dual array, non-rechargeable, includes extension
L8689	External recharg sys intern	External recharging system for battery (internal) for use with implantable neurostimulator, replacement only
L8690	Aud osseo dev, int/ext comp	Auditory osseointegrated device, includes all internal and external components
L8691	Aoi snd proc repl excl actua	Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each
L8692	Non-osseointegrated snd proc	Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment
L8693	Aud osseo dev, abutment	Auditory osseointegrated device abutment, any length, replacement only
L8694	Aoi transducer/actuator repl	Auditory osseointegrated device, transducer/actuator, replacement only, each
L8695	External recharg sys extern	External recharging system for battery (external) for use with implantable neurostimulator, replacement only
L8696	Ext antenna phren nerve stim	Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each
L8698	Misc used with tot art heart	Miscellaneous component, supply or accessory for use with total artificial heart system
L8699	Prosthetic implant nos	Prosthetic implant, not otherwise specified
L8701	Ewh s/d uprt micro sensor	Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
L8702	Ewhf s/d uprt micro sensor	Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated