HCPCS Code L0180: Cervical, Multiple Post Collar, Occipital/Mandibular Supports, Adjustable

Learn about the HCPCS code L0180 for "cervical, multiple post collar, occipital/mandibular supports, adjustable" through this guide.

Use Code

## **What is the HCPCS code L0180 for?** The HCPCS code L0180 is an L code, which means that it's part of a massive cluster of HCPCS codes meant to designate the provision of orthoses. For L0180, specifically, what it designates is the provision of a cervical collar, specifically a multiple-post collar that has occipital and mandibular support. The collar is adjustable, too. This prefabricated orthosis is meant to provide stabilization to the cervical spine. It has adjustable supports (it only requires minimal self-adjustment) that secure the occipital and mandibular regions, and it can ensure the precise alignment and immobilization of the patient's head and neck. It is often used when healthcare professionals are handling patients with the following problems: - Spinal injuries close to the neck - Cervical spine issues (e.g., fractures, spondylosis, radiculopathy, etc.) - Whiplash injuries - Chronic neck pain, stiffness, or tenderness - Reduced neck mobility - Headaches due to cervical spine issues Professionals with specialized training in dealing with such issues will assist providers with conducting the necessary assessments and measurements so that the proper orthotic size can be provided.

## **Documentation requirements for L0180** Like with any HCPCS code, if you want to ensure you get a reimbursement for L0180, you need to make sure you follow proper coding guidelines and have sufficient documentation with complete information, such as the following: - The full name of the specific patient receiving the orthosis - The full name and credentials of the healthcare providers involved in assessing the patient, and the fitting of the orthosis - The patient's medical history should closely describe any relevant clinical indications and diagnoses to justify the medical necessity of the orthosis - The components of the orthosis (e.g., straps, anterior panel, stabilizing closures, etc.) - The size of the orthosis (e.g., kid's size, adult size) - Documentation that supports any minimal adjustments made to the orthosis (if any) - Standard written order (SWO) or written order prior to delivery (WOPD), and proof of delivery - Imaging test results showing the cervical spine's condition

## **Billing requirements for L0180** Besides the documentation requirements above, please make sure to prepare and take note of the following: - You have the relevant diagnosis codes based on the patient's condition - If you provided a WPOD, it must have been received by the supplier before the device was delivered - The rationale for the orthotic device - Any fitting procedures and adjustments performed must be described in detail for this particular item - Any miscellaneous codes (HCPCS/CPT) related to this orthotic, if applicable Again, please follow the necessary coding guidelines, or else expect a claim rejection.

## **Other similar codes** - **L0200** - Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension - **L0190** - Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types) - **L0160** - Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf - **L0150** - Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece) - **L0140** - Cervical, semi-rigid, adjustable (plastic collar)

Frequently asked questions

HCPCS code L0180 is generally classified as "custom-fitted," which is sometimes just labeled as "adjustable" or "custom-fitted" in older guidelines.

If the fit is not correct, or if there's prolonged use of the orthotic, there will be discomfort, skin irritations, or worse, the emergence of pressure sores.

Regular skin care and attending follow-ups with providers to make any adjustments to the collar.