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Key Facts: BOC-CMF Exam

100 Scored

Exam Items

2.5 hours (150 min) via PSI

$200 Total

Initial Exam Cost

$50 application + $150 exam fee

120 Hours

Clinical Experience

Plus BOC-approved entry course

10 CEUs

5-Year Recertification

Plus $50 annual renewal by Dec 31

BOC CMF is the BOC credential for post-mastectomy external breast prosthesis and garment fitters. The exam has 100 scored multiple-choice items in 2.5 hours (150 minutes) through PSI, with results shown immediately. Candidates need a BOC-approved entry-level mastectomy fitter course within the past 5 years plus 120 supervised patient care hours; initial fees are $200 ($50 application + $150 exam). Weight study to the outline: Best Practices 26%, Patient 37%, Product 37%.

Sample BOC-CMF Practice Questions

Try these sample questions to review concepts for the BOC-CMF exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which surgical procedure removes the entire breast along with axillary lymph nodes but preserves the chest wall muscles?
A.Lumpectomy
B.Simple mastectomy
C.Modified radical mastectomy
D.Radical mastectomy
Explanation: A modified radical mastectomy removes the entire breast and axillary lymph nodes while preserving the pectoralis major muscle, distinguishing it from the older radical mastectomy.
2What is the primary functional benefit of a weighted silicone breast prosthesis compared to a lightweight foam form?
A.Lower cost to the patient
B.Maintains shoulder and spine balance
C.Easier to clean
D.Better color matching
Explanation: A weighted silicone prosthesis matches the weight of the natural contralateral breast, helping maintain shoulder symmetry, spinal alignment, and posture, which is the gold standard for unilateral mastectomy patients.
3How often will Medicare typically cover a replacement silicone breast prosthesis per breast?
A.Every 6 months
B.Every year
C.Every 2 years
D.Every 5 years
Explanation: Medicare covers one silicone breast prosthesis per breast every 2 years, with non-silicone (foam/fabric) forms covered every 6 months.
4Which HCPCS L-code is used for a silicone breast prosthesis?
A.L8000
B.L8020
C.L8030
D.L8035
Explanation: L8030 is the HCPCS code for a silicone breast prosthesis (mastectomy form). L8000 is the mastectomy bra, L8020 is a non-silicone form, and L8035 is the custom-molded prosthesis.
5What essential structural feature distinguishes a post-mastectomy bra from a standard bra?
A.Underwire support
B.Internal pockets to hold the prosthesis
C.Padded cups
D.Convertible straps
Explanation: Post-mastectomy bras have built-in internal pockets in each cup designed to securely hold a breast prosthesis in place against the chest wall.
6A patient who underwent a lumpectomy with significant tissue removal but breast preservation would BEST be fitted with which type of prosthesis?
A.Full silicone weighted form
B.Partial/equalizer prosthesis
C.Custom-molded prosthesis
D.Attachable silicone prosthesis
Explanation: A partial or equalizer prosthesis (also called a shell or shaper) is designed to fill in volume differences after lumpectomy, restoring symmetry to the contralateral breast.
7Which lymph node region is most commonly affected by dissection during a modified radical mastectomy?
A.Cervical
B.Axillary
C.Inguinal
D.Mediastinal
Explanation: Axillary lymph node dissection is performed during modified radical mastectomy because breast lymphatic drainage primarily flows to the axilla, and removal helps stage the cancer.
8What is the most important reason to avoid blood pressure measurements on a patient's affected arm after axillary lymph node dissection?
A.It causes severe pain
B.It increases lymphedema risk
C.It alters BP readings
D.It dislodges the prosthesis
Explanation: Compression of the affected arm from blood pressure cuffs can impair lymphatic drainage and trigger or worsen lymphedema, a chronic swelling condition.
9Which professional is required to provide the written order for a Medicare-covered breast prosthesis?
A.A licensed certified mastectomy fitter
B.A physician, NP, or PA
C.A registered nurse
D.A medical social worker
Explanation: Medicare requires a written order from a treating physician, nurse practitioner (NP), or physician assistant (PA) before a breast prosthesis can be provided and billed.
10What is the appropriate first step in fitting a post-mastectomy patient for a breast prosthesis?
A.Show her the prostheses on display
B.Conduct a private consultation and assessment
C.Measure her chest wall immediately
D.Give her a catalog to choose from
Explanation: A private consultation establishes rapport, addresses emotional concerns, reviews medical history, and discusses goals and lifestyle before any measurements or product selection.

About the BOC-CMF Exam

The BOC Certified Mastectomy Fitter (CMF) credential shows competence in assessing post-mastectomy patients, measuring chest wall landmarks, fitting external breast prostheses, bras, and post-surgical and compression garments, and following CMS DMEPOS supplier and quality standards. The 2.5-hour computer-based exam, delivered by PSI at test centers or with a live remote proctor, has 100 scored multiple-choice items plus unscored pretest items across three domains: Best Practices (26%), Patient (37%), and Product (37%).

Exam sponsor: Board of Certification/Accreditation (BOC). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

100 questions

Time Limit

2.5 hours (150 minutes)

Passing Score

Pass/fail; passing point set by the Angoff method (2017), with later forms linearly pre-equated

Exam / Certification Fees

$200 total ($50 application fee + $150 exam fee)

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

10%

1.A. Facilities Management (Best Practices)

Accreditation standards (CMS supplier and quality standards, BOC standards), measuring devices, environmental safety and infection control, policies and procedures, and HIPAA (10 scored items: 3 Recall, 5 Application, 2 Analysis)

16%

1.B. Professional Practice / Ethics (Best Practices)

Patient confidentiality, continuing education (10 CEUs per 5-year cycle), performance improvement, staff and provider education, and the BOC Code of Ethics (16 scored items: 7 Recall, 9 Application)

20%

2.A. Patient Assessment / Evaluation (Patient)

Patient relationship, intake and financial discussion; skin, range of motion, strength, dexterity, coordination, posture, sensation, swelling, and cognition; and prescription verification including surgery type, NPI, and PECOS (20 scored items: 7 Recall, 10 Application, 3 Analysis)

17%

2.B. Communication / Patient Education (Patient)

Explaining device purpose, procedures, advantages and disadvantages, patient responsibilities, and product options; impact on patient, family, and others; and inter-professional communication such as progress notes (17 scored items: 7 Recall, 10 Application)

20%

3.A. Preparation, Measurements, and Selection of Product (Product)

Anatomical landmarks and measurement techniques (patient positioning, half-measurements), and selection of post-surgical garments (camisole, lymphedema, compression) and breast prostheses and bras (20 scored items: 7 Recall, 8 Application, 5 Analysis)

17%

3.B. Product Application, Delivery, and Final Evaluation (Product)

Fitting and alignment for balance, symmetry, and appearance; demonstrating and teaching application, removal, adjustment, and care; observing the patient; warranty review; signed receipts; and follow-up (17 scored items: 7 Recall, 10 Application)

Preparing for the BOC-CMF Exam

What You Need to Know

  • Passing score: Pass/fail; passing point set by the Angoff method (2017), with later forms linearly pre-equated
  • Exam length: 100 questions
  • Time limit: 2.5 hours (150 minutes)
  • Exam / certification fees: $200 total ($50 application fee + $150 exam fee) Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

BOC-CMF: Suggested Study Strategy

1Weight your study time to the BOC outline: Patient (37%), Product (37%), and Best Practices (26%)
2Know Medicare useful lifetimes and codes: L8000-L8002 bras, L8015 camisole, L8020 foam form (6 months), L8030 silicone form (2 years), L8032/L8033 nipple prostheses (3 months), and the denied L8010, L8031, and L8035
3Drill half-chest measurement from mid-sternum to mid-spine for unilateral band and cup sizing, and footprint-based sizing for bilateral mastectomy
4Memorize BOC numbers: 120 supervised hours, $200 initial fees, 90-day retake wait, 5 retakes in 3 years, and 10 CEUs per 5-year cycle
5Never fit weighted or adhesive silicone over open incisions, drains, or radiation dermatitis, and refer redness with warmth or fever to the physician the same day

Frequently Asked Questions

What are the eligibility requirements and fees for the BOC CMF exam?

To qualify for the BOC Certified Mastectomy Fitter (CMF) exam, candidates must complete a BOC-approved entry-level mastectomy fitter education course within the last 5 years and document at least 120 hours (about 3 weeks of full-time work) of patient care supervised by another mastectomy fitter or a professional whose scope includes mastectomy fitting. Initial fees total $200 ($50 application fee + $150 multiple-choice exam fee), and applicants get free access to BOC's Self-Assessment Examination once the application is processed.

How is the BOC CMF exam structured and scored?

The BOC CMF exam is a 2.5-hour (150-minute) computer-based test offered year-round by PSI at test centers or with a live remote proctor. It has 100 scored multiple-choice questions plus unscored pretest items, split across Best Practices (26%), Patient (37%), and Product (37%), with 38 Recall, 52 Application, and 10 Analysis items. BOC set the initial passing point with the Angoff method in 2017, and results appear immediately (except in Canada and Puerto Rico, where results are mailed).

How often does Medicare cover external breast prostheses and mastectomy bras?

Under Medicare's External Breast Prostheses policy (LCD L33317 and Policy Article A52478), Medicare pays for one breast prosthesis per side for its useful lifetime: 2 years for a silicone prosthesis (L8030), 6 months for fabric, foam, or fiber-filled items such as L8020, and 3 months for nipple prostheses (L8032, L8033). The same type can be replaced early only if it is lost or irreparably damaged, and a different type is covered when the patient's medical condition changes. Medicare denies L8031 (integral adhesive) and L8035 (custom molded) prostheses as not reasonable and necessary.

What is BOC's retake and recertification policy for CMFs?

Candidates have 3 years from submitting the CMF application to pass. After a failed attempt they must wait 90 days and may retake the exam up to 5 times within the 3 years, paying the $150 exam fee each time. Certified CMFs renew every year by December 31 ($50) and earn 10 CEUs every 5-year cycle, with at least 5 Scientific CEUs and no more than 5 Business CEUs.