HCPCS Code L1250

Addition to tlso, (low profile), anterior asis pad
Short DescriptionAnterior asis pad
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 1996
Code Added DateJanuary 01, 1988
Pricing Indicator38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics