L1330 Sternocostal orthosis prefab

Thoracic orthosis, sternal and/or sternocostal compression, may include anterior and/or posterior pads, panels, with or without frame, prefabricated, off the shelf

Payer policies and prior authorization for L1330

Payer coverage policies that name L1330

L1330 appears in 2 coverage policies from Aetna, BlueCross BlueShield of South Carolina.

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
BlueCross BlueShield of South CarolinaInterventions for Progressive Scoliosis (CAM 20183)listed, no stance (range L1000-L1499)Jun 1, 2026payer document

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.