L1007 HCPCS Level II code: Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla, to trochanter, includes all accessory pads, straps, and…
L1007 is the HCPCS code for “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” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L1007Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla, to trochanter, includes all accessory pads, straps, and interface, custom fabricated
Short description: Scoliosis orth s-c custom
HCPCS · United States
Medicare details
The indicators CMS publishes with L1007 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Oct 1, 2025
Where L1007 sits
- 1L codesOrthotics and prosthetics
- 2Active code L1007Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla, to trochanter, includes all accessory pads, straps, and interface, custom fabricated
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code L1007 mean?
L1007 is the HCPCS code for “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” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L1007?
CMS lists L1007’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside L1007
All L codesL0984Protective body sock, prefabricated, off-the-shelf, eachL0999Addition to spinal orthosis, not otherwise specifiedL1000Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee), inclusive of furnishing initial orthosis, including modelL1001Cervical thoracic lumbar sacral orthosis, immobilizer, infant size, prefabricated, includes fitting and adjustmentL1005Tension based scoliosis orthosis and accessory pads, includes fitting and adjustmentL1006Scoliosis orthosis, sagittal-coronal control provided by a rigid lateral frame, extends from axilla to trochanter, includes all accessory pads, straps and interface…L1010Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis, axilla slingL1020Addition to ctlso or scoliosis orthosis, kyphosis padL1025Addition to ctlso or scoliosis orthosis, kyphosis pad, floatingL1030Addition to ctlso or scoliosis orthosis, lumbar bolster padL1040Addition to ctlso or scoliosis orthosis, lumbar or lumbar rib padL1050Addition to ctlso or scoliosis orthosis, sternal pad