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    v1.0.31
    OpenPayerBilling CodesOrthotic Procedures and servicesHCPCS hcpcs-l0200-cervical-thoracic-orthosis-multiple-post-collar
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    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.

    For related coverage guidance, see recent payer policy updates: Patient-Controlled End Range of Motion Stretching Devices, Sleep Position Trainer, Hospital Beds Corporate Medical Policy.

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    Table of contents

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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 CodeDescriptionRelationship to This Procedure
    20610Arthrocentesis, 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
    22630Arthrodesis, posterior or posterolateral technique, single level; cervicalPostoperative immobilization after cervical fusion procedures commonly leads to ordering L0200
    99283Emergency department visit, moderate severityTypical ED evaluation code when a trauma patient is first seen and immobilized with a cervical orthosis
    97530Therapeutic activities, direct (one-on-one)Physical therapy visits that include functional training while wearing the orthosis
    99070Supplies and materials (except spectacles), used by the physicianUsed when additional supplies or orthosis accessories are billed by the provider in association with the DME

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    22Modifier –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…
    52Modifier ‑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…
    53Modifier 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…
    62Modifier 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…
    78CPT 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…
    80CPT® 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
    2084P0800X
    208D00000X
    207LP2900X
    163WC1600X
    376G00000X
    163WI0600X
    163WS0200X
    207YX0602X

    Related ICD-10-CM Codes

    19 rows

    ICD-10-CM CodeDescription
    G54.2Cervical root disorders, not elsewhere classified
    G89.29Other chronic pain
    M43.6Torticollis
    M48.02Spinal stenosis, cervical region
    M50.10Cervical disc disorder with radiculopathy, unspecified cervical region
    M50.11Cervical disc disorder with radiculopathy, high cervical region
    M50.20Other cervical disc displacement, unspecified cervical region
    M50.30Other cervical disc degeneration, unspecified cervical region
    M53.2X1Spinal instabilities, occipito-atlanto-axial region
    M53.2X2Spinal instabilities, cervical region

    Showing 1–10 of 19

    Related Payer Policy Updates

    Specialty: Durable Medical Equipment (DME)1 / 3

    10 rows

    PolicyPayerEffective Date
    Patient-Controlled End Range of Motion Stretching DevicesBluecross Idaho2027-01-01
    Sleep Position Trainerregence2027-01-01
    Hospital Beds Corporate Medical Policybcbsvermont2027-01-01
    Continuous Passive Motion Devices with Remote Monitoring or Adaptive CapabilitiesBlue Cross Blue Shield - Rhode Island2026-12-01
    Bone Growth StimulatorsMass General Brigham Health Plan2026-12-01
    Prior Authorization for Durable Medical Equipment (DME)Blue Cross Blue Shield - Rhode Island2026-12-01
    Patient Liftsuniverahealthcare2026-11-16
    Durable Medical Equipment RepairsCareSource Georgia2026-11-01
    Custom Compression GarmentsModa Health2026-11-01
    Tonic Motor Activation (TOMAC) for Restless Legs Syndromeregence2026-11-01

    Related Codes

    HCPCS-L0112-CRANIAL-CERVICAL-ORTHOSIS-CONGENITAL-TORTICOLLIS-CUSTOM

    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

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    Frequently Asked Questions

    References

    1. 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. 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. 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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