HCPCS Code L1007

Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla, to trochanter, includes all accessory pads, straps, and interface, custom fabricated
Short DescriptionScoliosis orth s-c custom
Year2026
Coverage CodeC = Carrier judgment
Action CodeA = Add procedure or modifier code
Action Effective DateOctober 01, 2025
Code Added DateOctober 01, 2025
Pricing Indicator46 = Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap - filled amounts)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics