L1070 Trapezius sling

Addition to ctlso or scoliosis orthosis, trapezius sling

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for L1070

DMEPOS fee schedule, July 2026 (DME26-C)

Payer policies and prior authorization for L1070

Payer coverage policies that name L1070

L1070 appears in 6 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, BlueCross BlueShield of South Carolina, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

PayerPolicyRole in policyReviewedDocument
AetnaOrthopedic Casts, Braces and Splints (0009)covered if criteria are met (range L1000-L1499)Jan 20, 2026payer document
AetnaOrthopedic Casts, Braces and Splints (0009)listed, no stance (range L1000-L1499)Jan 20, 2026payer document
AnthemSpinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and Lumbar (CG-OR-PR-06)covered if criteria are met (range L1010-L1120)Feb 19, 2026payer document
Blue Cross & Blue Shield of MississippiInterventions For Progressive Scoliosiscovered if criteria are met (range L1000-L1120)payer document
BlueCross BlueShield of South CarolinaInterventions for Progressive Scoliosis (CAM 20183)listed, no stance (range L1000-L1499)Jun 1, 2026payer document
CignaOrthotic Devices and Shoes (0543)covered if criteria are metSep 15, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Interventions for Progressive Scoliosis (SUR705.046)
HCPCS Codes L0999, L1000, L1005, L1010, L1020, L1025, L1030, L1040, L1050, L1060,
listed, no stanceSep 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in LA, MA, MS, NY, OH, VA.

  • AZ: $115.52 (dme), effective Oct 1, 2026
  • CO: $46.49 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $36.43 (dme), effective Jul 1, 2026
  • IL: $104.71 (dme), effective Jan 1, 2026
  • IN: $114.89 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
  • KS: $82.73 (default), effective Jul 1, 2026
  • KY: $73.19 (dme), effective Jan 1, 2026
  • LA: $63.55 (dme), effective Jul 1, 2012
  • MA: $90.70 (orthotics_prosthetics_rates), effective Apr 1, 2024
  • MD: $114.80 (dme), effective Apr 1, 2026
  • MS: $93.72 (comprehensive), effective Jul 1, 2026
  • ND: $122.22 (dme), effective Aug 1, 2026
  • NE: $88.77 (dme), effective Jul 1, 2026
  • NY: $30.30 (dme), effective Jul 1, 2026
  • OH: $71.67 (dme), effective Jan 1, 2010
  • OK: $81.97 (dme), effective Jan 1, 2026
  • TX: $63.21 (dmepos_tos_9_e_j_l_and_r, Hospital - Long Term, Limited, Or Specialized Ca, facility), effective Apr 1, 1992
  • VA: $121.55 (dme), effective Dec 1, 2026
  • VT: $86.68 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $87.97 (prosthetics_orthotics), effective Jul 1, 2026
  • WY: $70.74 (professional), effective Jan 1, 2021

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.