L1499 HCPCS Level II code: Spinal orthosis, not otherwise specified
L1499 is the HCPCS code for “Spinal orthosis, not otherwise specified” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L1499Spinal orthosis, not otherwise specified
Short description: Spinal orthosis nos
HCPCS · United States
Medicare details
The indicators CMS publishes with L1499 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
- Jan 1, 1982
Where L1499 sits
- 1L codesOrthotics and prosthetics
- 2Active code L1499Spinal orthosis, not otherwise specified
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 L1499 mean?
L1499 is the HCPCS code for “Spinal orthosis, not otherwise specified” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L1499?
CMS lists L1499’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 L1499
All L codesL1280Addition to tlso, (low profile), rib gusset (elastic), eachL1290Addition to tlso, (low profile), lateral trochanteric padL1300Other scoliosis procedure, body jacket molded to patient modelL1310Other scoliosis procedure, post-operative body jacketL1320Thoracic, pectus carinatum orthosis, sternal compression, rigid circumferential frame with anterior and posterior rigid pads, custom fabricatedL1330Thoracic orthosis, sternal and/or sternocostal compression, may include anterior and/or posterior pads, panels, with or without frame, prefabricated, includes fitting and…L1600Hip 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…L1610Hip 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…L1620Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a…L1630Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricatedL1640Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricatedL1650Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment