L1030 – Addition to ctlso or scoliosis orthosis, lumbar bolster pad
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL1030
- Long description
- Addition to ctlso or scoliosis orthosis, lumbar bolster pad
- Short description
- Lumbar bolster pad
- Pricing indicator
38Orthotics, prosthetics, prosthetic devices & vision services- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 1986
- Last change
- January 1, 1996 – No change
Frequently asked questions
What is HCPCS code L1030?
L1030 is a HCPCS Level II code for addition to ctlso or scoliosis orthosis, lumbar bolster pad.
Does Medicare cover L1030?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby L codes
- L1000 – Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including model
- L1001 – Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustment
- L1005 – Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment
- L1006 – Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
- 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
- L1010 – Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla sling
- L1020 – Addition to ctlso or scoliosis orthosis, kyphosis pad
- L1025 – Addition to ctlso or scoliosis orthosis, kyphosis pad, floating
- L1040 – Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib pad
- L1050 – Addition to ctlso or scoliosis orthosis, sternal pad
- L1060 – Addition to ctlso or scoliosis orthosis, thoracic pad
- L1070 – Addition to ctlso or scoliosis orthosis, trapezius sling
- L1080 – Addition to ctlso or scoliosis orthosis, outrigger
- L1085 – Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions
- L1090 – Addition to ctlso or scoliosis orthosis, lumbar sling
- L1100 – Addition to ctlso or scoliosis orthosis, ring flange, plastic or leather
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.