L1070 — Addition to ctlso or scoliosis orthosis, trapezius sling
HCPCS Level II L-code · short descriptor: “Trapezius sling”
- Code system
- HCPCS Level II
- Family
- L — Orthotics & prosthetics
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Prosthetics & orthotics
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
L1070 Medicare fee schedule (April 2026)
Base (no modifier) Prosthetics & orthotics
Medicare allowable ranges from $68.51 to $144.98 depending on state and rural status.
Former-CBA payment limits: ceiling $137.88 · floor $103.41
| State | Non-rural | Rural |
|---|---|---|
| AK | $135.63 | — |
| AL | $117.15 | — |
| AR | $117.10 | — |
| AZ | $137.88 | — |
| CA | $137.88 | — |
| CO | $103.41 | — |
| CT | $103.41 | — |
| DC | $135.06 | — |
| DE | $135.06 | — |
| FL | $117.15 | — |
| GA | $117.15 | — |
| HI | $144.98 | — |
| IA | $103.41 | — |
| ID | $117.07 | — |
| IL | $137.88 | — |
| IN | $137.88 | — |
| KS | $103.41 | — |
| KY | $117.15 | — |
| LA | $117.10 | — |
| MA | $103.41 | — |
| MD | $135.06 | — |
| ME | $103.41 | — |
| MI | $137.88 | — |
| MN | $137.88 | — |
| MO | $103.41 | — |
| MS | $117.15 | — |
| MT | $103.41 | — |
| NC | $117.15 | — |
| ND | $103.41 | — |
| NE | $103.41 | — |
| NH | $103.41 | — |
| NJ | $103.41 | — |
| NM | $117.10 | — |
| NV | $137.88 | — |
| NY | $103.41 | — |
| OH | $137.88 | — |
| OK | $117.10 | — |
| OR | $117.07 | — |
| PA | $135.06 | — |
| PR | $68.51 | — |
| RI | $103.41 | — |
| SC | $117.15 | — |
| SD | $103.41 | — |
| TN | $117.15 | — |
| TX | $117.10 | — |
| UT | $103.41 | — |
| VA | $135.06 | — |
| VI | $103.41 | — |
| VT | $103.41 | — |
| WA | $117.07 | — |
| WI | $137.88 | — |
| WV | $135.06 | — |
| WY | $103.41 | — |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%.
A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area
adjustments and non-continental rates can differ — verify with your DME MAC.
Common denial codes to watch
Related L-codes
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