The Centers for Medicare & Medicaid Services (CMS) has recently released their final determinations from the First Biannual 2026 Healthcare Common Procedure Coding System (HCPCS) code application meetings.
The final determinations resulted in two new codes, which will be active and valid for claims with dates of service on or after October 1, 2026.
| New Code | Code Descriptor |
| L1330 | Thoracic orthosis, sternal and/or sternocostal compression, may include anterior and/or posterior pads, panels, with or without frame, prefabricated, off the shelf |
| L1972 | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, off-the shelf |
The final determinations also resulted in descriptor changes for four codes which will be active and valid for claims with dates of service on or after October 1, 2026. Changes are in bold.
| Current Code | Old Code Descriptor | New Code Descriptor |
| L1971 | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment | Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L8030 | Breast prosthesis, silicone or equal, without integral adhesive | Breast prosthesis, silicone or equal, without integral adhesive, any type |
| L8031 | Breast prosthesis, silicone or equal, with integral adhesive | Breast prosthesis, silicone or equal, with integral adhesive, any type |
| L8035 | Custom breast prosthesis, post mastectomy, molded to patient model | Custom breast prosthesis, post mastectomy, molded to patient model, any type |
Questions? Contact Joe McTernan at jmcternan@AOPAnet.org or Devon Bernard at dbernard@AOPAnet.org.