L8035 Insurance Policy Changes

HCPCS L8035 is officially defined as "Custom breast prosthesis, post mastectomy, molded to patient model." HCPCS L8035 is referenced in 2 tracked payer policy changes from Blue Cross & Blue Shield of Mississippi and Connecticut Medicaid (HUSKY Health). For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS L8035 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.