HCPCS Range Cervical Orthotics

• 1 Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated ( L0112 )

• 2 Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment ( L0113 )

• 3 Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) ( L0120 )

• 4 Cervical, flexible, thermoplastic collar, molded to patient ( L0130 )

• 5 Cervical, semi-rigid, adjustable (plastic collar) ( L0140 )

• 6 Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) ( L0150 )

• 7 Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf ( L0160 )

• 8 Cervical, collar, molded to patient model ( L0170 )

• 9 Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf ( L0172 )

• 10 Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf ( L0174 )