Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension
Medicare coverage: Carrier judgment
Status: active (October 2026 file)
Medically Unlikely Edits (effective October 1, 2026)
Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction
DME supplier: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction
Medicare pricing for L0200
DMEPOS fee schedule, July 2026 (DME26-C)
no modifier, prosthetics and orthotics (PO): non-rural $593.42 to $791.22 in the contiguous states; $601.10 to $1,026.32 in AK, HI, PR and VI; ceiling $791.22, floor $593.42
Payer policies and prior authorization for L0200
2 of 2 payer prior-auth lists that name L0200 require prior authorization or set conditions: Humana, Passport by Molina Healthcare (Kentucky).
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.