L1270 HCPCS code: Addition to tlso, (low profile), abdominal pad
L1270 is the HCPCS Level II code for addition to tlso, (low profile), abdominal pad. The 2026 Medicare DMEPOS fee schedule pays $73.54 to $166.30 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 3 per day on DME suppliers. Its average fee ranks 3 of 10 L12 codes (family range $94.70–$2,126.94).
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1988-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L1270
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $73.54 | $166.30 | $118.71 | $89.03 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $155.50 | — |
| AL | — | $113.64 | — |
| AR | — | $90.43 | — |
| AZ | — | $118.71 | — |
| CA | — | $118.71 | — |
| CO | — | $89.03 | — |
| CT | — | $96.99 | — |
| DC | — | $103.23 | — |
| DE | — | $103.23 | — |
| FL | — | $113.64 | — |
| GA | — | $113.64 | — |
| HI | — | $166.30 | — |
| IA | — | $89.03 | — |
| ID | — | $89.03 | — |
| IL | — | $101.86 | — |
| IN | — | $101.86 | — |
| KS | — | $89.03 | — |
| KY | — | $113.64 | — |
| LA | — | $90.43 | — |
| MA | — | $96.99 | — |
| MD | — | $103.23 | — |
| ME | — | $96.99 | — |
| MI | — | $101.86 | — |
| MN | — | $101.86 | — |
| MO | — | $89.03 | — |
| MS | — | $113.64 | — |
| MT | — | $89.03 | — |
| NC | — | $113.64 | — |
| ND | — | $89.03 | — |
| NE | — | $89.03 | — |
| NH | — | $96.99 | — |
| NJ | — | $89.03 | — |
| NM | — | $90.43 | — |
| NV | — | $118.71 | — |
| NY | — | $89.03 | — |
| OH | — | $101.86 | — |
| OK | — | $90.43 | — |
| OR | — | $89.03 | — |
| PA | — | $103.23 | — |
| PR | — | $73.54 | — |
| RI | — | $96.99 | — |
| SC | — | $113.64 | — |
| SD | — | $89.03 | — |
| TN | — | $113.64 | — |
| TX | — | $90.43 | — |
| UT | — | $89.03 | — |
| VA | — | $103.23 | — |
| VI | — | $89.03 | — |
| VT | — | $96.99 | — |
| WA | — | $89.03 | — |
| WI | — | $101.86 | — |
| WV | — | $103.23 | — |
| WY | — | $89.03 | — |
How the L1270 fee compares
| Measure | Value |
|---|---|
| Rank among 10 L12 codes (lowest = 1) | 3 |
| Family fee range (average of state fees) | $94.70–$2,126.94 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 3 | Nature of Equipment |
| outpatient hospital claims | 3 | Nature of Equipment |
What changed for L1270
- 2026-01-01: Average state fee rose 2.0%: $98.96 to $100.94
- 1988-01-01: L1270 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code L1270?
L1270 is the HCPCS Level II code for addition to tlso, (low profile), abdominal pad. Short descriptor: "Abdominal pad".
How much does Medicare pay for L1270?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $73.54–$166.30. Rural fees can be higher.
Does Medicare cover L1270?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L1270 change in 2026?
The average non-rural state fee moved from $98.96 in 2025 to $100.94 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L1270 can be billed per day?
3 on DME suppliers; 3 on outpatient hospital claims (NCCI medically unlikely edits).
Related L12 codes
- L1200 — Thoracic-lumbar-sacral-orthosis (TLSO), inclusive of furnishing initial orthosis only ($1,800.47–$3,428.48)
- L1210 — Addition to tlso, (low profile), lateral thoracic extension ($300.68–$621.52)
- L1220 — Addition to tlso, (low profile), anterior thoracic extension ($254.58–$641.16)
- L1230 — Addition to tlso, (low profile), milwaukee type superstructure ($653.22–$1,144.60)
- L1240 — Addition to tlso, (low profile), lumbar derotation pad ($83.25–$148.00)
- L1250 — Addition to tlso, (low profile), anterior asis pad ($63.89–$111.79)
- L1260 — Addition to tlso, (low profile), anterior thoracic derotation pad ($63.89–$123.28)
- L1280 — Addition to tlso, (low profile), rib gusset (elastic), each ($99.14–$167.07)
- L1290 — Addition to tlso, (low profile), lateral trochanteric pad ($75.46–$234.03)
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Next steps
- Run a reimbursement report for a device billed under L1270
- Watch L1270 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L1270
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.