Durable Medical Equipment Coding System (DMECS)

HCPCS Code L0120 Details

Short Description: CERV FLEX N/ADJ FOAM PRE OTS

Long Description: CERVICAL, FLEXIBLE, NON-ADJUSTABLE, PREFABRICATED, OFF-THE-SHELF (FOAM COLLAR)

Additional Search Terminology: SO

Product and Service Code(s): OR03 : ORTHOSES: OFF-THE-SHELF.

References:

Fee Schedules

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Product Classification

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Code History

Effective Date Type Notes
01/01/1982 Added to HCPCS Code Set
10/01/1993 Valid for DME MAC submission
01/01/2014 Long Description Change Old Long Description: - CERVICAL, FLEXIBLE, NON-ADJUSTABLE (FOAM COLLAR)

Crosswalk History

Effective Date From Code To Code Notes

Features and Functions

Features & Functions Images

L0120

Features

  • The device is manufactured in quantity without a specific beneficiary in mind.
  • Meets the DMEPOS Quality Standards (Appendix C) definition of minimal self-adjustment which requires an adjustment the patient, caretaker for the patient, or device supplier can perform without an individual with expertise.
  • One-piece circumferential cervical collar.
  • Flexible orthosis, constructed of foam with a seamless cotton stockinette cover. It is secured with a hook and loop closure.
  • Includes all interface materials and closures.

Functions

  • Restricts the motion of the cervical spine.

Corresponding prefabricated Custom Fitted HCPCS Code

  • None