See key below found on all Product Facts pages.
|Medical Team Information|
Should you need to speak to someone about understanding your benefits, please contact PRP to schedule a consultation.
L8000 Mastectomy Bra
L8015 External Prosthesis Garment
L8020 Breast Prosthesis Non-silicone
L8030 Breast Prosthesis Silicone
L8032 Reusable Nipple Prosthesis
L8035 Custom Breast Prosthesis
Medicare Beneficiaries: You can request reimbursement for any L Coded products using the 1490S DME claim form. The link below will take to the Medicare site. Pay special attention to the mailing address for submission. The address is specific to the state you live in.
BCBS, CIGNA, AETNA, United Health, etc. Payers: You can probably file for reimbursement for any L Coded products purchased on line using your insurance carrier's specific reimbursement insurance form. Below is a sample form from BCBS. I was told this is a 'universal form' SO your insurance company should have the equivalent. Don't forget every payer is different in every state and as you know benefits can change from year to year. You may still have to meet various deductibles, stay in network and need to ask specifically about L coded Durable Medical Equipment (DME) products.Medicare uses these L Codes as billing codes and other payers often refer to these codes to determine their own DME breast care benefits for you.