HCPCS L0200: Cervical-Thoracic Orthosis with Occipital/Mandibular Supports

HCPCS Level II code L0200 describes a cervical orthosis with multiple posterior collar supports, occipital/mandibular supports, adjustable cervical bars, and a thoracic extension; this device is a custom or prefabricated cervical-thoracic orthosis used to immobilize and support the cervical and upper thoracic spine following trauma, surgery, or for significant cervical instability. Service type: orthotic device fitting and provision. Typical site of service: outpatient durable medical equipment (DME) supplier, orthotics clinic, or hospital outpatient setting.

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HCPCS L0200: Cervical-Thoracic Orthosis with Occipital/Mandibular Supports

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Clinical & Coding Specifications

Clinical Context

A patient presents with acute cervical spine instability following a motor vehicle collision with significant neck pain, limited cervical range of motion, and concern for occipital and upper thoracic support needs. The treating clinician — commonly an orthopedist, physiatrist, or spine surgeon — evaluates the patient in the emergency department or outpatient spine clinic. Imaging (cervical spine X‑rays or CT) confirms ligamentous injury or multilevel cervical vertebral fractures that require external immobilization.

The durable medical equipment (DME) team or orthotics specialist orders a custom or prefabricated cervical orthosis described by L0200 (cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension). The DME supplier documents medical necessity, fitting, patient education on donning and doffing, and plans for follow‑up. Typical workflow: clinician documents diagnosis and need for a supportive orthosis, writes an order specifying L0200 features, DME verifies payer coverage, fits the device in clinic or DME facility, provides training, and supplies supporting documentation for prior authorization if required.

Typical site of service: hospital outpatient department, emergency department (initial fitting), physician office with DME vendor present, or a specialized orthotics clinic. Typical patient scenario: adult trauma patient or postoperative cervical fusion patient who requires rigid immobilization extending to the thoracic region with occipital/mandibular support for enhanced stabilizing and load distribution.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`20610`	Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee)	Occasionally performed prior to orthosis if pain management injections are required for mobilization during fitting or therapy
`22630`	Arthrodesis, posterior or posterolateral technique, single level; cervical	Postoperative immobilization after cervical fusion procedures commonly leads to ordering `L0200`
`99283`	Emergency department visit, moderate severity	Typical ED evaluation code when a trauma patient is first seen and immobilized with a cervical orthosis
`97530`	Therapeutic activities, direct (one-on-one)	Physical therapy visits that include functional training while wearing the orthosis
`99070`	Supplies and materials (except spectacles), used by the physician	Used when additional supplies or orthosis accessories are billed by the provider in association with the DME

Related Modifiers

6 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
208D00000X	General Practice Physician	A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
207LP2900X	Pain Medicine (Anesthesiology) Physician	An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
163WC1600X	Continuing Education/Staff Development Registered Nurse	Nursing Service Providers · Registered Nurse
376G00000X	Nursing Home Administrator	An individual, often licensed by the state, who is responsible for the management of a nursing home.
163WI0600X	Infection Control Registered Nurse	Nursing Service Providers · Registered Nurse
163WS0200X	School Registered Nurse	Nursing Service Providers · Registered Nurse
207YX0602X	Otolaryngic Allergy Physician	An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

Related ICD-10-CM Codes

19 rows

ICD-10-CM Code	Description
G54.2	Cervical root disorders, not elsewhere classified
G89.29	Other chronic pain
M43.6	Torticollis
M48.02	Spinal stenosis, cervical region
M50.10	Cervical disc disorder with radiculopathy, unspecified cervical region
M50.11	Cervical disc disorder with radiculopathy, high cervical region
M50.20	Other cervical disc displacement, unspecified cervical region
M50.30	Other cervical disc degeneration, unspecified cervical region
M53.2X1	Spinal instabilities, occipito-atlanto-axial region
M53.2X2	Spinal instabilities, cervical region

Showing 1–10 of 19

HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

HCPCS Level II L0170: Cervical Collar, Custom-Molded

HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

Showing 1–10 of 466

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`20610`	Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee)	Occasionally performed prior to orthosis if pain management injections are required for mobilization during fitting or therapy
`22630`	Arthrodesis, posterior or posterolateral technique, single level; cervical	Postoperative immobilization after cervical fusion procedures commonly leads to ordering `L0200`
`99283`	Emergency department visit, moderate severity	Typical ED evaluation code when a trauma patient is first seen and immobilized with a cervical orthosis
`97530`	Therapeutic activities, direct (one-on-one)	Physical therapy visits that include functional training while wearing the orthosis
`99070`	Supplies and materials (except spectacles), used by the physician	Used when additional supplies or orthosis accessories are billed by the provider in association with the DME

Related Modifiers

6 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
208D00000X	General Practice Physician	A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
207LP2900X	Pain Medicine (Anesthesiology) Physician	An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chr…
163WC1600X	Continuing Education/Staff Development Registered Nurse	Nursing Service Providers · Registered Nurse
376G00000X	Nursing Home Administrator	An individual, often licensed by the state, who is responsible for the management of a nursing home.
163WI0600X	Infection Control Registered Nurse	Nursing Service Providers · Registered Nurse
163WS0200X	School Registered Nurse	Nursing Service Providers · Registered Nurse
207YX0602X	Otolaryngic Allergy Physician	An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

Related ICD-10-CM Codes

19 rows

ICD-10-CM Code	Description
G54.2	Cervical root disorders, not elsewhere classified
G89.29	Other chronic pain
M43.6	Torticollis
M48.02	Spinal stenosis, cervical region
M50.10	Cervical disc disorder with radiculopathy, unspecified cervical region
M50.11	Cervical disc disorder with radiculopathy, high cervical region
M50.20	Other cervical disc displacement, unspecified cervical region
M50.30	Other cervical disc degeneration, unspecified cervical region
M53.2X1	Spinal instabilities, occipito-atlanto-axial region
M53.2X2	Spinal instabilities, cervical region

Showing 1–10 of 19

HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

HCPCS Level II L0170: Cervical Collar, Custom-Molded

HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

Showing 1–10 of 466

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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HCPCS L0200: Cervical-Thoracic Orthosis with Occipital/Mandibular Supports

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HCPCS L0200: Cervical-Thoracic Orthosis with Occipital/Mandibular Supports

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

References

HCPCS L0200: Cervical-Thoracic Orthosis with Occipital/Mandibular Supports

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HCPCS L0200: Cervical-Thoracic Orthosis with Occipital/Mandibular Supports

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code L0200 represent?

In which clinical situations is L0200 commonly used and who orders it?

Where is the L0200 orthosis typically provided and what is the typical workflow?

Which CPT codes commonly relate to claims or clinical scenarios involving L0200?

Which modifiers are noted as relevant for billing L0200 and when are they used?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code L0200 represent?

In which clinical situations is L0200 commonly used and who orders it?

Where is the L0200 orthosis typically provided and what is the typical workflow?

Which CPT codes commonly relate to claims or clinical scenarios involving L0200?

Which modifiers are noted as relevant for billing L0200 and when are they used?

References