Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

L0810 - L0861  Halo Procedure

L0810
Halo procedure, cervical halo incorporated into jacket vest
shortHalo cervical into jckt vest
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH1.02 Date of Service Edit: PolicyAnatomic Consideration
DME1.02 Date of Service Edit: PolicyAnatomic Consideration
L0820
Halo procedure, cervical halo incorporated into plaster body jacket
shortHalo cervical into body jack
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH1.02 Date of Service Edit: PolicyAnatomic Consideration
DME1.02 Date of Service Edit: PolicyAnatomic Consideration
L0830
Halo procedure, cervical halo incorporated into milwaukee type orthosis
shortHalo cerv into milwaukee typ
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH1.02 Date of Service Edit: PolicyAnatomic Consideration
DME1.02 Date of Service Edit: PolicyAnatomic Consideration
L0859
Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material
shortMri compatible system
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
DME1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
L0861
Addition to halo procedure, replacement liner/interface material
shortHalo repl liner/interface
MUE
LocationValueAjudication IndicatorRationale
PRA0.03 Date of Service Edit: ClinicalCMS Policy
OPH1.02 Date of Service Edit: PolicyNature of Equipment
DME1.02 Date of Service Edit: PolicyNature of Equipment