L0810 HCPCS code: Halo procedure, cervical halo incorporated into jacket vest
L0810 is the HCPCS Level II code for halo procedure, cervical halo incorporated into jacket vest. The 2026 Medicare DMEPOS fee schedule pays $2,709.68 to $4,706.46 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. Its average fee ranks 4 of 5 L08 codes (family range $263.56–$4,033.26).
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 | 1986-01-01 |
2026 Medicare DMEPOS fee schedule for L0810
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $2,709.68 | $4,706.46 | $3,952.09 | $2,964.07 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $4,401.43 | — |
| AL | — | $3,084.99 | — |
| AR | — | $3,147.13 | — |
| AZ | — | $3,952.09 | — |
| CA | — | $3,952.09 | — |
| CO | — | $3,096.63 | — |
| CT | — | $3,886.29 | — |
| DC | — | $3,001.43 | — |
| DE | — | $3,001.43 | — |
| FL | — | $3,084.99 | — |
| GA | — | $3,084.99 | — |
| HI | — | $4,706.46 | — |
| IA | — | $3,162.46 | — |
| ID | — | $3,159.50 | — |
| IL | — | $3,284.91 | — |
| IN | — | $3,284.91 | — |
| KS | — | $3,162.46 | — |
| KY | — | $3,084.99 | — |
| LA | — | $3,147.13 | — |
| MA | — | $3,886.29 | — |
| MD | — | $3,001.43 | — |
| ME | — | $3,886.29 | — |
| MI | — | $3,284.91 | — |
| MN | — | $3,284.91 | — |
| MO | — | $3,162.46 | — |
| MS | — | $3,084.99 | — |
| MT | — | $3,096.63 | — |
| NC | — | $3,084.99 | — |
| ND | — | $3,096.63 | — |
| NE | — | $3,162.46 | — |
| NH | — | $3,886.29 | — |
| NJ | — | $3,010.05 | — |
| NM | — | $3,147.13 | — |
| NV | — | $3,952.09 | — |
| NY | — | $3,010.05 | — |
| OH | — | $3,284.91 | — |
| OK | — | $3,147.13 | — |
| OR | — | $3,159.50 | — |
| PA | — | $3,001.43 | — |
| PR | — | $2,709.68 | — |
| RI | — | $3,886.29 | — |
| SC | — | $3,084.99 | — |
| SD | — | $3,096.63 | — |
| TN | — | $3,084.99 | — |
| TX | — | $3,147.13 | — |
| UT | — | $3,096.63 | — |
| VA | — | $3,001.43 | — |
| VI | — | $3,010.04 | — |
| VT | — | $3,886.29 | — |
| WA | — | $3,159.50 | — |
| WI | — | $3,284.91 | — |
| WV | — | $3,001.43 | — |
| WY | — | $3,096.63 | — |
How the L0810 fee compares
| Measure | Value |
|---|---|
| Rank among 5 L08 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $263.56–$4,033.26 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Anatomic Consideration |
| outpatient hospital claims | 1 | Anatomic Consideration |
What changed for L0810
- 2026-01-01: Average state fee rose 2.0%: $3,234.62 to $3,299.31
- 1986-01-01: L0810 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 L0810?
L0810 is the HCPCS Level II code for halo procedure, cervical halo incorporated into jacket vest. Short descriptor: "Halo cervical into jckt vest".
How much does Medicare pay for L0810?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $2,709.68–$4,706.46. Rural fees can be higher.
Does Medicare cover L0810?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for L0810 change in 2026?
The average non-rural state fee moved from $3,234.62 in 2025 to $3,299.31 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of L0810 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related L08 codes
- L0820 — Halo procedure, cervical halo incorporated into plaster body jacket ($1,758.88–$3,309.59)
- L0830 — Halo procedure, cervical halo incorporated into milwaukee type orthosis ($3,067.55–$6,964.46)
- L0859 — Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material ($1,256.43–$1,866.53)
- L0861 — Addition to halo procedure, replacement liner/interface material ($258.53–$284.37)
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Next steps
- Run a reimbursement report for a device billed under L0810
- Watch L0810 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for L0810
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.