L0200 HCPCS code: Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension
L0200 is the HCPCS Level II code for cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension. The 2026 Medicare DMEPOS fee schedule pays $593.42 to $1,026.32 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | L codes — Orthotic and prosthetic procedures and devices |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 38 — DMEPOS: orthotics, prosthetics, prosthetic devices and vision services |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1984-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for L0200
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $593.42 | $1,026.32 | $791.22 | $593.42 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $959.88 | — |
| AL | — | $593.42 | — |
| AR | — | $684.43 | — |
| AZ | — | $791.22 | — |
| CA | — | $791.22 | — |
| CO | — | $641.90 | — |
| CT | — | $645.20 | — |
| DC | — | $593.42 | — |
| DE | — | $593.42 | — |
| FL | — | $593.42 | — |
| GA | — | $593.42 | — |
| HI | — | $1,026.32 | — |
| IA | — | $723.95 | — |
| ID | — | $759.82 | — |
| IL | — | $758.49 | — |
| IN | — | $758.49 | — |
| KS | — | $723.95 | — |
| KY | — | $593.42 | — |
| LA | — | $684.43 | — |
| MA | — | $645.20 | — |
| MD | — | $593.42 | — |
| ME | — | $645.20 | — |
| MI | — | $758.49 | — |
| MN | — | $758.49 | — |
| MO | — | $723.95 | — |
| MS | — | $593.42 | — |
| MT | — | $641.90 | — |
| NC | — | $593.42 | — |
| ND | — | $641.90 | — |
| NE | — | $723.95 | — |
| NH | — | $645.20 | — |
| NJ | — | $601.10 | — |
| NM | — | $684.43 | — |
| NV | — | $791.22 | — |
| NY | — | $601.10 | — |
| OH | — | $758.49 | — |
| OK | — | $684.43 | — |
| OR | — | $759.82 | — |
| PA | — | $593.42 | — |
| PR | — | $658.45 | — |
| RI | — | $645.20 | — |
| SC | — | $593.42 | — |
| SD | — | $641.90 | — |
| TN | — | $593.42 | — |
| TX | — | $684.43 | — |
| UT | — | $641.90 | — |
| VA | — | $593.42 | — |
| VI | — | $601.10 | — |
| VT | — | $645.20 | — |
| WA | — | $759.82 | — |
| WI | — | $758.49 | — |
| WV | — | $593.42 | — |
| WY | — | $641.90 | — |
How the L0200 fee compares
| Measure | Value |
|---|---|
| Rank among 2 L02 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $154.02–$679.25 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
What changed for L0200
- 2026-01-01: Average state fee rose 2.0%: $665.93 to $679.25
- 1984-01-01: L0200 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code L0200?
L0200 is the HCPCS Level II code for cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension. Short descriptor: "Cerv col supp adj bar & thor".
How much does Medicare pay for L0200?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $593.42–$1,026.32. Rural fees can be higher.
Does Medicare cover L0200?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L0200 change in 2026?
The average non-rural state fee moved from $665.93 in 2025 to $679.25 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L0200 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related L02 codes
- L0220 — Thoracic, rib belt, custom fabricated ($94.68–$187.65)
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Next steps
- Run a reimbursement report for a device billed under L0200
- Watch L0200 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L0200
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.