L8020 — Breast prosthesis, mastectomy form
HCPCS Level II L-code · short descriptor: “Mastectomy form”
- Code system
- HCPCS Level II
- Family
- L — Orthotics & prosthetics
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Prosthetics & orthotics
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
L8020 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $245.60 to $366.25 depending on state and rural status.
Former-CBA payment limits: ceiling $327.46 · floor $245.60
| State | Non-rural | Rural |
|---|---|---|
| AK | $251.18 | — |
| AL | $279.11 | — |
| AR | $278.14 | — |
| AZ | $255.91 | — |
| CA | $255.91 | — |
| CO | $245.60 | — |
| CT | $245.60 | — |
| DC | $306.30 | — |
| DE | $306.30 | — |
| FL | $279.11 | — |
| GA | $279.11 | — |
| HI | $268.60 | — |
| IA | $291.65 | — |
| ID | $294.95 | — |
| IL | $278.40 | — |
| IN | $278.40 | — |
| KS | $291.65 | — |
| KY | $279.11 | — |
| LA | $278.14 | — |
| MA | $245.60 | — |
| MD | $306.30 | — |
| ME | $245.60 | — |
| MI | $278.40 | — |
| MN | $278.40 | — |
| MO | $291.65 | — |
| MS | $279.11 | — |
| MT | $245.60 | — |
| NC | $279.11 | — |
| ND | $245.60 | — |
| NE | $291.65 | — |
| NH | $245.60 | — |
| NJ | $293.60 | — |
| NM | $278.14 | — |
| NV | $255.91 | — |
| NY | $293.60 | — |
| OH | $278.40 | — |
| OK | $278.14 | — |
| OR | $294.95 | — |
| PA | $306.30 | — |
| PR | $366.25 | — |
| RI | $245.60 | — |
| SC | $279.11 | — |
| SD | $245.60 | — |
| TN | $279.11 | — |
| TX | $278.14 | — |
| UT | $245.60 | — |
| VA | $306.30 | — |
| VI | $293.60 | — |
| VT | $245.60 | — |
| WA | $294.95 | — |
| WI | $278.40 | — |
| WV | $306.30 | — |
| WY | $245.60 | — |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%.
A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area
adjustments and non-continental rates can differ — verify with your DME MAC.
Common denial codes to watch
Related L-codes
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