HCPCS Code L1210

Addition to tlso, (low profile), lateral thoracic extension
Code effective Jan 01, 1996

HCPCS Section
Orthotic and Prosthetic Procedures, Devices

L1210 is a valid 2026 HCPCS code meaning Addition to tlso, (low profile), lateral thoracic extension or (Lateral thoracic extension) for short. HCPCS L1210 has been effective since 01/01/1996 and applies to Lump sum purchase of DME, prosthetics, orthotics.


HCPCS Code Details - L1210

HCPCS Level II Code
Section L - Orthotic and Prosthetic Procedures, Devices
HCPCS Code L1210
Description

Long description:
Addition to tlso, (low profile), lateral thoracic extension

Short description:
Lateral thoracic extension

HCPCS 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
Coverage code C - Carrier judgment
BETOS2 code D1F - Prosthetic/Orthotic devices
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 1996
Date added Added Jan 01, 1986

See also

  • HCPCS L1200 · Thoracic-lumbar-sacral-orthosis (tlso), inclusive of furnishing initial orthosis only

  • HCPCS L1220 · Addition to tlso, (low profile), anterior thoracic extension

  • HCPCS L1230 · Addition to tlso, (low profile), milwaukee type superstructure

  • HCPCS L1240 · Addition to tlso, (low profile), lumbar derotation pad

  • HCPCS L1250 · Addition to tlso, (low profile), anterior asis pad

  • HCPCS L1260 · Addition to tlso, (low profile), anterior thoracic derotation pad

  • HCPCS L1270 · Addition to tlso, (low profile), abdominal pad

  • HCPCS L1280 · Addition to tlso, (low profile), rib gusset (elastic), each

  • HCPCS L1290 · Addition to tlso, (low profile), lateral trochanteric pad

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”


HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

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