L4000 HCPCS Level II code: Replace girdle for spinal orthosis (ctlso or so)
L4000 is the HCPCS code for “Replace girdle for spinal orthosis (ctlso or so)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
L4000Replace girdle for spinal orthosis (ctlso or so)
Short description: Repl girdle milwaukee orth
HCPCS · United States
Medicare details
The indicators CMS publishes with L4000 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, 1985
Where L4000 sits
- 1L codesOrthotics and prosthetics
- 2Active code L4000Replace girdle for spinal orthosis (ctlso or so)
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 L4000 mean?
L4000 is the HCPCS code for “Replace girdle for spinal orthosis (ctlso or so)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover L4000?
CMS lists L4000’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.
Codes beside L4000
All L codesL3980Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustmentL3981Upper extremity fracture orthosis, humeral, prefabricated, includes shoulder cap design, with or without joints, forearm section, may include soft interface, straps, includes…L3982Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustmentL3984Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustmentL3995Addition to upper extremity orthosis, sock, fracture or equal, eachL3999Upper limb orthosis, not otherwise specifiedL4002Replacement strap, any orthosis, includes all components, any length, any typeL4010Replace trilateral socket brimL4020Replace quadrilateral socket brim, molded to patient modelL4030Replace quadrilateral socket brim, custom fittedL4040Replace molded thigh lacer, for custom fabricated orthosis onlyL4045Replace non-molded thigh lacer, for custom fabricated orthosis only