L1330 HCPCS code: Thoracic orthosis, sternal and/or sternocostal compression, may include anterior and/or posterior pads, panels, with or without frame, prefabricated, off the shelf
L1330 is the HCPCS Level II code for thoracic orthosis, sternal and/or sternocostal compression, may include anterior and/or posterior pads, panels, with or without frame, prefabricated, off the shelf. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 46 — Priced by the Medicare contractor (no national fee) |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2026-10-01 |
| Last action effective | 2026-10-01 |
What changed for L1330
- October 2026: Code appears in this HCPCS release
- 2026-10-01: L1330 added to HCPCS Level II
- 2026-10-01: Last CMS action: code added
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code L1330?
L1330 is the HCPCS Level II code for thoracic orthosis, sternal and/or sternocostal compression, may include anterior and/or posterior pads, panels, with or without frame, prefabricated, off the shelf. Short descriptor: "Sternocostal orthosis prefab".
Does Medicare cover L1330?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related L13 codes
- L1300 — Other scoliosis procedure, body jacket molded to patient model ($1,919.53–$3,013.95)
- L1310 — Other scoliosis procedure, post-operative body jacket ($1,975.19–$2,631.87)
- L1320 — Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated
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Next steps
- Run a reimbursement report for a device billed under L1330
- Watch L1330 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L1330
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; 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.