L1290 – Addition to tlso, (low profile), lateral trochanteric pad
HCPCS Level II code · L codes: Orthotic and Prosthetic Procedures and Devices
HCPCS codeL1290
- Long description
- Addition to tlso, (low profile), lateral trochanteric pad
- Short description
- Lateral trochanteric 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, 1988
- Last change
- January 1, 1996 – No change
Frequently asked questions
What is HCPCS code L1290?
L1290 is a HCPCS Level II code for addition to tlso, (low profile), lateral trochanteric pad.
Does Medicare cover L1290?
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
- L1210 – Addition to tlso, (low profile), lateral thoracic extension
- L1220 – Addition to tlso, (low profile), anterior thoracic extension
- L1230 – Addition to tlso, (low profile), milwaukee type superstructure
- L1240 – Addition to tlso, (low profile), lumbar derotation pad
- L1250 – Addition to tlso, (low profile), anterior asis pad
- L1260 – Addition to tlso, (low profile), anterior thoracic derotation pad
- L1270 – Addition to tlso, (low profile), abdominal pad
- L1280 – Addition to tlso, (low profile), rib gusset (elastic), each
- L1300 – Other scoliosis procedure, body jacket molded to patient model
- L1310 – Other scoliosis procedure, post-operative body jacket
- L1320 – Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricated
- L1330 – Thoracic orthosis, sternal and/or sternocostal compression, may include anterior and/or posterior pads, panels, with or without frame, prefabricated, off the shelf
- L1499 – Spinal orthosis, not otherwise specified
- L1600 – Hip orthosis, abduction control of hip joints, flexible, frejka type with cover, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an inidividual with expertise
- L1610 – Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
- L1620 – Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.