Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension
HCPCS code
Name of the Procedure:
Cervical, Multiple Post Collar with Occipital/Mandibular Supports, Adjustable Cervical Bars, and Thoracic Extension (L0200)
Summary
This procedure involves fitting a specialized type of cervical collar designed to support the neck and upper spine. The collar includes adjustable supports for the back of the head (occipital), jaw (mandibular), neck, and thoracic area (upper back). It is used to stabilize and immobilize the cervical spine.
Purpose
Medical Conditions: Cervical spine injuries, post-surgical stabilization, severe cervical arthritis, whiplash, or cervical spondylosis. Goals: To immobilize the cervical spine, reduce pain, promote healing, and prevent further injury.
Indications
Symptoms/Conditions: Severe neck pain, instability in the cervical spine, recent cervical spine surgery, or trauma to the neck. Patient Criteria: Patients requiring extensive cervical spine immobilization and support.
Preparation
Pre-Procedure Instructions: Generally, no specific preparation such as fasting or medication adjustments is required. Diagnostic Tests: Imaging studies like X-rays, CT scans, or MRIs to assess the extent of cervical spine issues.
Procedure Description
- Assessment: Healthcare provider examines the patient's neck and may use imaging results.
- Selection: The appropriate size and type of collar is selected.
- Fitting: The collar is carefully fitted around the neck, with adjustments made to the occipital and mandibular supports.
- Customization: Adjustable cervical bars and thoracic extensions are fine-tuned to ensure a secure fit.
- Instruction: The patient is instructed on how to wear and maintain the collar properly.
Tools/Equipment: Cervical collar with multiple posts, occipital/mandibular supports, adjustable cervical bars, and thoracic extension. Anesthesia/Sedation: Not required.
Duration
The fitting process typically takes 30-60 minutes.
Setting
Performed in a clinical or outpatient setting, often in an orthotics or physical therapy department.
Personnel
- Orthotist or a trained healthcare provider
- Physician oversight, if needed
Risks and Complications
Common Risks: Discomfort, skin irritation, difficulty swallowing or speaking. Rare Risks: Pressure sores, increased stiffness, muscle atrophy. Managed through periodic adjustments and monitoring.
Benefits
Expected Benefits: Enhanced stability of the cervical spine, pain reduction, and prevention of further injury. Benefits may be noticeable immediately but depend on the underlying condition being treated.
Recovery
Post-Procedure Care: Monitoring for skin irritation and proper fit. Periodic follow-up appointments for adjustments. Expected Recovery Time: Varies based on the underlying condition. Activities may be limited to prevent additional strain on the cervical spine.
Alternatives
Other Options: Soft cervical collars, physical therapy, surgery, or medications. Pros and Cons: Soft collars provide less support but are more comfortable. Surgery might be more definitive but comes with higher risks.
Patient Experience
During Procedure: Minimal discomfort during fitting. After Procedure: May experience some initial discomfort or difficulty adjusting. Pain management includes over-the-counter analgesics if needed. Regular care includes checking for pressure points and ensuring proper hygiene to prevent skin issues.