MyMedi-AI

L0180 — Cervical, multiple post collar, occipital/mandibular supports, adjustable

HCPCS Level II L-code · short descriptor: “Cer post col occ/man sup adj”

Code system
HCPCS Level II
Family
L — Orthotics & prosthetics
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Prosthetics & orthotics
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

L0180 Medicare fee schedule (April 2026)

Base (no modifier) Prosthetics & orthotics

Medicare allowable ranges from $425.78 to $587.47 depending on state and rural status.

Former-CBA payment limits: ceiling $567.70 · floor $425.78

StateNon-ruralRural
AK$549.39
AL$429.30
AR$473.00
AZ$545.66
CA$545.66
CO$425.78
CT$567.70
DC$437.72
DE$437.72
FL$429.30
GA$429.30
HI$587.47
IA$428.95
ID$483.66
IL$554.45
IN$554.45
KS$428.95
KY$429.30
LA$473.00
MA$567.70
MD$437.72
ME$567.70
MI$554.45
MN$554.45
MO$428.95
MS$429.30
MT$425.78
NC$429.30
ND$425.78
NE$428.95
NH$567.70
NJ$466.05
NM$473.00
NV$545.66
NY$466.05
OH$554.45
OK$473.00
OR$483.66
PA$437.72
PR$476.70
RI$567.70
SC$429.30
SD$425.78
TN$429.30
TX$473.00
UT$425.78
VA$437.72
VI$466.05
VT$567.70
WA$483.66
WI$554.45
WV$437.72
WY$425.78
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related L-codes

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