L1250 – Addition to tlso, (low profile), anterior asis pad

HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices

Active code Carrier judgment

HCPCS codeL1250
Long description
Addition to tlso, (low profile), anterior asis pad
Short description
Anterior asis pad
Pricing indicator
38 Orthotics, prosthetics, prosthetic devices & vision services
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
D1F Prosthetic/Orthotic devices
Added
January 1, 1988
Last change
January 1, 1996 – No change

Frequently asked questions

What is HCPCS code L1250?

L1250 is a HCPCS Level II code for addition to tlso, (low profile), anterior asis pad.

Does Medicare cover L1250?

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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.