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2026: The Expanded Post-Mastectomy & DMEPOS Fee Schedule Has Been Released


2026 Fee Schedule Update Factor

  • The Post-Mastectomy & DMEPOS Fee Schedule has been released for 2026
  • The CY2026 Fees have been updated by a factor of 2%
  • CMS pays for certain DMEPOS items on a fee schedule basis based on Sections 1834(a), (h), and (i) of the Social Security Act.

2026 DMEPOS_Fee Schedule [Download

This file is an immediate download as an .xlsx file.


Jurisdictions A, B, C, D

  • All fee schedule downloads are the same, but they are available on each of the DME MAC websites
  • CGS ADMISITRATORS: Direct Link to Jurisdiction C
  • NORIDIAN: Direct Link to Jurisdiction A

Current Mastectomy Billing Codes (2026)

There are no new codes in 2026 that apply to mastectomy fitters.

  • A 4280
  • L 8000
  • L 8001
  • L 8002
  • L 8015
  • L 8020
  • L 8030
  • L 8031
  • L 8032
  • L 8035

Want more information on Mastectomy Fitter Billing and Coding? Sign Up for the 2026 AABCP Regulatory Boot Camp