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Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf

HCPCS code

Medical Policies and Guidelines for Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf

Related policies from health plans

Orthotic Devices and Shoes - (0543)

Similar Codes


ICD10CM codes

Q76.413 - Congenital kyphosis, cervicothoracic region
M48.53XS - Collapsed vertebra, not elsewhere classified, cervicothoracic region, sequela of fracture
M48.53 - Collapsed vertebra, not elsewhere classified, cervicothoracic region
M53.2X2 - Spinal instabilities, cervical region
M48.52XS - Collapsed vertebra, not elsewhere classified, cervical region, sequela of fracture
M53.2X3 - Spinal instabilities, cervicothoracic region
M48.52XD - Collapsed vertebra, not elsewhere classified, cervical region, subsequent encounter for fracture wit
O26.879 - Cervical shortening, unspecified trimester
S13.181A - Dislocation of C7/T1 cervical vertebrae, initial encounter
O26.872 - Cervical shortening, second trimester

HCPCS codes

L0174 - Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated,
L0172 - Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf
L0120 - Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)
L0130 - Cervical, flexible, thermoplastic collar, molded to patient
L0140 - Cervical, semi-rigid, adjustable (plastic collar)
L0170 - Cervical, collar, molded to patient model
L0200 - Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoraci
L0150 - Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)
L0160 - Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf
L0180 - Cervical, multiple post collar, occipital/mandibular supports, adjustable

CPT4 codes

31750 - Tracheoplasty; cervical
72126 - Computed tomography, cervical spine; with contrast material
63050 - Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments
15819 - Cervicoplasty
57170 - Diaphragm or cervical cap fitting with instructions
31760 - Tracheoplasty; intrathoracic
72040 - Radiologic examination, spine, cervical; 2 or 3 views
72125 - Computed tomography, cervical spine; without contrast material
72070 - Radiologic examination, spine; thoracic, 2 views
70491 - Computed tomography, soft tissue neck; with contrast material(s)