hcpcs data

L1310

Other scoliosis procedure, post-operative body jacket

Medicare: Carrier judgmentL seriesAdded January 01, 1986

What L1310 means

L1310 (Post-operative body jacket) belongs to the HCPCS Level II L series (Orthotic Procedures and services; Prosthetic Procedures). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

Part B pricing: Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings).

Code details

Short description
Post-operative body jacket
Coverage code
C = Carrier judgment
Pricing indicator
38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Multiple pricing indicator
A = Not applicable as HCPCS priced under one methodology
Type of service
P = Lump sum purchase of DME, prosthetics, orthotics
Action code
N = No maintenance for this code
Code added date
January 01, 1986
Data year
2026

Questions about L1310

What is HCPCS code L1310?

HCPCS code L1310 is a Level II code in the L series (Orthotic Procedures and services; Prosthetic Procedures). Its full description is: "Other scoliosis procedure, post-operative body jacket"

Is L1310 a CPT code?

No. L1310 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code L1310?

The Medicare coverage code for L1310 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

When was HCPCS code L1310 added?

L1310 was added to the HCPCS code set on January 01, 1986. The most recent action on it (No maintenance for this code) took effect on undefined.

All L codes