L1085 HCPCS Level II code: Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions

L1085 is the HCPCS code for “Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

L1085

Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions

Short description: Outrigger bil w/ vert extens

HCPCS · United States

Medicare details

The indicators CMS publishes with L1085 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Carrier judgment
Medicare pricing
DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of service
Lump sum purchase of DME, prosthetics, orthotics
BETOS category
Prosthetic/Orthotic devices
Added
Jan 1, 1988

Where L1085 sits

  1. 1L codesOrthotics and prosthetics
  2. 2Active code L1085Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions

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 L1085 mean?

L1085 is the HCPCS code for “Addition to ctlso or scoliosis orthosis, outrigger, bilateral with vertical extensions” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover L1085?

CMS lists L1085’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)”. 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.