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CERTIFICATE OF MEDICAL NECESSITY Type of Service: CUSTOM BREAST PROSTHESIS L8035 Patient Name: DOB: Address: City: State: Zip: Phone: ID#: Group#: Diagnosis: 174.9 Malignant neoplasm of breast: (Left,.

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Page 1 Of 3 CHEVRON -- CPS218224 THINNER 450 -- 6850 Question Bank Atomic Structure - Testlabz Question Of Periodic Table Question Bank Water - Testlabz

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The Women's Health and Cancer Rights Act of 1998 is a federal law requiring health insurance companies that cover mastectomy to also cover breast reconstruction and breast forms. Certainly, most health insurance plans offer coverage for breast forms and mastectomy bras — with a doctor's prescription.

A custom-made form is made by making a mold of your chest area so that the form will fit your chest and body exactly. Because of the extra work involved, custom-made breast forms cost much more than ready-made forms. Your insurance may not cover this extra cost.

ICD-10-CM Code for Encounter for fitting and adjustment of external breast prosthesis Z44. 3.

LCD - External Breast Prostheses (L33317) The .

For breast prostheses, get a prescription from your doctor stating your diagnosis, right or left breast prosthesis, and prosthetic bras. Medicare covers bras and prostheses as medically necessary. Most insurance companies cover breast prostheses and bras.

Yes, your health insurance should cover bras, breast prosthesis, breast forms and camisoles whether you had breast reconstruction if they are medically necessary.

HCPCS Code for Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type L8002.

ing to BreastCancer.org, a person can expect to pay between $100 and $500 for high-quality prosthesis. People with insurance may get reimbursement for their prosthesis. It is important for a person to check with their provider before making a purchase to determine if they will cover some or all of the cost.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232